Business Office Specialist - Surgery Center

POSITION SUMMARY 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.

QUALIFICATIONS EDUCATION: High School Diploma is required. One or two years of college preferred.

EXPERIENCE: At least 2 years hospital business office experience or a minimum of 3 year 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, which includes the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive and empathetic manner in difficult interpersonal situations.

CERTIFICATION/LICENSURE: No certification, registration, or licensure required. . PERFORMANCE EXPECTATIONS Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position. WORK ENVIRONMENT This position requires sitting, standing, walking, stooping and crouching for the majority of the workday. Works with such equipment as computer terminal, fax machine, printer and copier. The essential functions for this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP This position reports department leadership and supervises incumbents as assigned. The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

EDUCATION

· High School Diploma is required. One or two years of college preferred.

EXPERIENCE

· At least 2 years hospital business office experience or a minimum of 3 year 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, which includes the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive and empathetic manner in difficult interpersonal situations.

CERTIFICATION/LICENSURE

· No certification, registration, or licensure required.