Business Office Coordinator

Acadia External • Ft. Myers, FL

1d

About The Position

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 to insurance carriers 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.

Responsibilities

• Verification and interpretation of insurance benefits
• Establishing financial arrangements with guarantor/patient
• Estimating patient out-of-pocket expenses
• Posting payments and following up with claims
• Preparing and reviewing billing forms for accuracy and completeness
• Processing claims electronically or hard copy with 100% accuracy
• Mailing claims to insurance carriers timely
• Entering documentation and adjustments through computer system
• Updating system information according to correspondence received
• Documenting changes and submitting to appropriate staff
• Reviewing charge summaries and identifying discrepancies with 100% accuracy
• Applying procedures to prevent delinquent or unbilled accounts
• Initiating follow-up and collection calls
• Reviewing remittance advice statements and initiating data entry
• Identifying denial and pending reasons and investigating to secure reimbursement

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees