Business Office Specialist

I. Primary Function

The Business Office Specialist is responsible for assisting the Business Office Manager in coordinating all office activities including clinical records, data entry, billing, ensuring smooth operations of day-to-day office functioning, and serving as a backup to front desk responsibilities. The Business Office Specialist will also support Clinical Leadership in reviewing documentation for Medicare processing.

II. EMPLOYMENT QUALIFICATIONS:

1. Previous work experience in general office procedures is normally acquired through two years of work experience, preferably in a healthcare setting.

2. Post-secondary education in business, technology, office assistance is preferred.

3. Previous work experience in the use of a variety of office equipment including but not limited to a personal computer, printer, copier, fax machine, telephone, and calculator with strong computer and internet research skills – Word, Excel, various database software systems.

4. Project coordination experience.

5. Ability to speak, listen and write in a clear, thorough and timely manner using appropriate and effective communication tools and techniques.

6. Proven track record of effective time management, flexibility and strong organizational skills.

7. Friendly and positive attitude with a commitment to providing exceptional customer service.

8. Ability to work effectively in a fast-paced environment with limited resources.

9. Commitment to the principles of teamwork and shared responsibility – work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness.

10. Ability to multi-task and meet simultaneous deadlines.

11. Ability to handle confidential conversation, correspondence, and records.

12. Ability to collaborate effectively and creatively with internal and external partners and establish positive working relationships to achieve the goals of CCH.

13. Understand ethical behavior and business practices and ensure own behavior and that of others are consistent with the standards and values of CCH.

14. Ability to assess situations and make recommendations for problem solving.

15. Understanding of medical terminology and billing procedures strongly preferred.

III. ESSENTIAL JOB FUNCTIONS:

1. Answers phone, transfers to appropriate person/department.

2. Answers all general phone inquiries using a professional and courteous manner and reply with accurate information.

3. Greets, interacts, and communicates with all internal and external customers in a friendly, supportive, and professional manner.

4. Prepares and sends outgoing faxes, mail, courier packages as requested.

5. Review all Admissions accuracy for billing; contacts appropriate staff for corrections and updates.

6. Works closely with RCM team to assist with billing issues for referrals, sales, patients, and providers.

7. Responsible for the submission of timely NOE (Notice of Election) to the federal government site.

8. Responsible for entering billing data for all patients and maintaining patient billing charts.

9. Responsible for accurately processing and billing Medicare, Medicaid, private payer, and patient claims in accordance with payor requirements and organization policy.

10. Responsible for pre-billing requirements and the preparation of monthly billing and accounts receivable reports.

11. Alert appropriate management team members regarding late or missing documents for billing.

12. Responsible for pulling all payor Remittance Advices to ensure proper posting of patient payments.

13. Assist Clinical Leadership with IDG preparation.

14. Assist with keeping EPP book, infection control book, and complaint logs.

15. Support Quality and Compliance with updated policies and procedures.

16. Assist with Quarterly QAPI meetings.

17. Review all HIS prior to submitting for ALL admissions, deaths, discharges and assist with corrections.

18. Support CEO/Leadership on any additional projects as requested.

IV OTHER JOB FUNCTIONS:

1. Recognizes and performs other duties in the office as needed and assists the Office Manager, CEO and others as requested to maintain efficient office operations.

2. Completes other duties as assigned by the Office Manager.

V. WORKING CONDITIONS:

1. Works in normal office conditions where there are few physical discomforts due to dust, dirt, noise.

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Hybrid remote in Petersburg, VA 23805