Business Office Specialist III

About the role

Performs activities related to denials, unresolved payments, and refunds. Coordinates denial, unresolved payment, and refund functions for the Patient Accounting Department with other revenue cycle functions to meet customer requirements, maximize revenue collection, and achieve best practice targets.

Responsibilities

• Resolve 150 billing edits or work on 50 claims daily (productivity numbers may vary based on complexity)
• Follow up on denials
• Train employees as needed
• Work independently with minimal leadership intervention

Requirements

• High School Diploma (required); one or two years of college (preferred)
• At least 5 years of hospital business office experience or a minimum of 5 years of experience in the collection field
• Overall knowledge of business office procedures and hospital policies
• General knowledge of third-party payors, collection procedures, and collection laws
• Excellent telephone communication skills
• Computer literacy
• Working knowledge/familiarity with basic medical terminology
• Customer service-oriented with the ability to interact professionally and handle sensitive information/issues confidentially, respectfully, assertively, and empathetically in difficult interpersonal situations
• HMFA Certified Revenue Cycle Representative (must be completed within 1 year of hire date)

Work Environment

• Requires sitting, standing, walking, stooping, and crouching for the majority of the workday
• Works with computer terminal, fax machine, printer, and copier

Benefits

• Generous Paid Time Off (PTO)
• Medical, prescription drug, dental, and vision insurance
• Retirement plans with employer contributions
• Short-term and long-term disability coverage
• Life and accidental death & dismemberment insurance
• Tuition reimbursement to support educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness programs
• Voluntary benefits, including pet insurance

Benefits offerings may vary based on position and are subject to eligibility requirements.