Business Office Specialist - Surgery Center - Full Time

About the role

The Specialist ensures the timely and organized scheduling of patient appointments, verifies patient insurance information, enters client information into the computer, and provides accurate financial information to clients. The Specialist also processes all patient accounts for their designated area in order to procure payments from third party and patient pay accounts. This position also ensures the accuracy of patient records, and compliance with State and Federal Regulations. The Representative verifies patient insurance, collects deductibles, and arranges payment plans. This position assists patients with questions regarding bills, insurance and alternative payment plans. The Specialist also performs activities related to denials, unresolved payments and refunds. Performs activities related to denial, unresolved payment and refund functions for the Surgery Center Business Office Department in coordination with other revenue cycle functions to meet customer requirements, maximize revenue collection, and achieve best practice targets.

Responsibilities

• Ensure timely and organized scheduling of patient appointments.
• Verify patient insurance information.
• Enter client information into the computer.
• Provide accurate financial information to clients.
• Process all patient accounts for designated area to procure payments from third party and patient pay accounts.
• Ensure accuracy of patient records and compliance with State and Federal Regulations.
• Assist patients with questions regarding bills, insurance, and alternative payment plans.
• Collect deductibles and arrange payment plans.
• Perform activities related to denials, unresolved payments, and refunds.
• Coordinate with other revenue cycle functions to meet customer requirements, maximize revenue collection, and achieve best practice targets.

Qualifications

• High School Diploma required; one or two years of college preferred.
• At least 2 years hospital business office experience or a minimum of 3 years experience in the collection field.
• Overall knowledge of business office procedures and hospital policies.
• General knowledge of third party payor’s collection procedures and collection laws.
• Excellent telephone communication skills.
• Computer literacy required.
• Working knowledge/familiarity of basic medical terminology.
• Customer service oriented: ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.
• No certification, registration, or licensure required.
• Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

Benefits

AtlantiCare offers a comprehensive Total Rewards package designed to promote the physical, emotional, social, and financial well‑being of team members:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental & Vision Insurance
• Retirement Plans with employer contributions
• Short‑Term & Long‑Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance and more

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