Business Office Specialist na Mathiesen Memorial Health Clinic

Position Summary

Working under the direction of the Business Office Supervisor, the Business Office Specialist is responsible for assisting the Business Office teams to ensure all applicable deadlines are successfully upheld. This includes Referrals, Authorizations, Insurance Verification, Health Information, and Accounts Receivable.

Essential Duties

• Verifies insurance eligibility for medical insurance for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Reviews patient payments and enters them into the billing system.
• Enters insurance on referrals as needed.
• Assists with posting payments from patients.
• Processes Waystar denials.
• Sorts mail and logs payments for accounting purposes.
• Process outgoing statements for billing.
• Assists with processing incoming record batches and inputting them into NextGen.
• Shares in answering all incoming calls and helping customers in the Business office.
• Files medical records into patient electronic charts.
• Assists with obtaining authorizations for patients.
• Assists with processing referrals.
• Utilizes EHR functions to document all pertinent information.
• Ensures compliance with all healthcare regulations and privacy laws (e.g., HIPAA)
• Provides general office support and other job-related duties assigned.
• Follows and adheres to the Employee Handbook and MMHC policies and procedures.

Qualifications

• High School Diploma/GED or equivalent.
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred.
• Experienced in processing referrals, obtaining prior authorizations through various insurance payers, verifying insurance coverage, processing medical records, and performing data entry.
• Proficient in data entry, record keeping, and computer operations.

• Proficient in Microsoft Office and Excel.
• Knowledge of basic accounting skills.
• Strong knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws and regulations.
• Ability to multitask and work independently despite interruptions.
• Critical thinking, problem-solving, and analytical skills.
• Good verbal and written communication skills.
• Good interpersonal relationships and customer service skills.
• Strong telephone etiquette.
• Ability to flex with changing work duties.
• Willing to learn FQHC policies and procedures.
• Willing to learn the NextGen operating system.

Physical requirements

• Bending, stooping, twisting, and reaching above and below the shoulder.
• Handling/grasping documents or office equipment.
• Sitting or standing for short or extended periods.
• Clear speaking and adequate hearing sufficient to communicate effectively and respond appropriately in person or on the telephone.
• Vision is sufficient to read source materials and computer screen data, with or without corrective lenses.
• Repetitive motions with computer equipment use.

• Occasional lifting to 25 pounds.

Working conditions

Work is performed primarily in an office environment using standard equipment with moderate background noise. It is a daytime shift only, Monday through Friday. Most of the day is spent viewing a computer monitor. The work environmental characteristics described here represent those employees encounter while performing the job's essential duties. 

Reasonable accommodations will be given to qualified disabled applicants pursuant to Section 501 of the Rehabilitation Act of 1973,29 U.S. Code 791, Title 29, and the Americans with Disabilities Act (ADA).