Business Office Coordinator

ESSENTIAL FUNCTIONS:

• Responsible for verification and interpretation of insurance benefits and establishing financial arrangements with guarantor/patient. 
• Estimate patient out-of-pocket and make financial arrangements with guarantor/patient.  Post payment and follow up with claims. 
• Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.
• Process claims electronically or hard copy with 100% accuracy and mail claims timely.
• Enter documentation and adjustments through computer system to maintain a correct account balance.
• Update system information according to correspondence received and processed.  Document any changes and submit to appropriate staff.
• Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.
• Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
• Initiate appropriate follow-up and collection calls.
• Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
• Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required. 
• Must have at least 3 years' experience in related field. 
• Must have extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid.