Business Office Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in the revenue cycle functions of hospitals and clinics, which include claim submissions for all payers, payment processing, denial management, appeals, and collections.

• Oversee self-pay collections and address outstanding account balances.

• Conduct follow-ups on accounts receivable to review, identify, and rectify discrepancies.

• Investigate and resolve complex credit balance situations.

• Utilize Cerner (Oracle) to access account details, document activities, and address billing and collection challenges.

• Employ FinThrive Clearinghouse to address billing edits and submit secondary claims.

• Analyze payor contracts and reimbursement methods to identify and correct payment discrepancies.

• Leverage knowledge of coding guidelines, regulations, and reimbursement practices to resolve account issues.

• Work collaboratively with clinical and financial teams to tackle issues impacting revenue.

• Evaluate metrics and reports to uncover opportunities for enhancing revenue cycle performance.

• Adhere to revenue cycle best practices and undertake additional responsibilities as assigned.

⛳️ Requirements

• High school diploma.

• A minimum of three years of experience in accounts receivable or revenue cycle management.

• Familiarity with hospital and clinic revenue cycle processes, including claim submission, payment processing, denial management, appeals, and collections.

• Understanding of coding guidelines, relevant regulations, payor contracts, and reimbursement methodologies.

• Experience with Medicare billing and collections, the Medicare DDE system, self-pay collections, and complex credit balance resolution.

• Proficiency in Cerner (Oracle), Microsoft Excel, and Outlook.

• Experience utilizing FinThrive Clearinghouse to address billing edits and submit secondary claims.

• Excellent communication, organizational, time management, interpersonal, and problem-solving abilities.

• Capability to work independently as well as collaboratively with minimal supervision.

• A strong commitment to the core values of Team, Integrity, Growth, and Innovation.

🏝️ Benefits

• Competitive hourly wage based on experience.

• Access to a 401(k) Retirement Savings Plan with company matching.

• Comprehensive medical, dental, and vision insurance coverage.

• Paid time off.

• Paid holidays.

• Pet insurance.

• Employee Assistance Program (EAP).

• Discounts on services.

• Opportunities for professional growth.

• A sense of belonging within a vibrant and expanding organization.