Business Office Rep

Surgery Partners Careers•Milwaukee, WI

14d•Onsite

About The Position

The Business Office Representative supports the financial and operational functions of a small physician's office by coordinating third-party billing and processing payments for the business office. This role focuses on improving efficiency, ensuring accurate billing and collections, and supporting day-to-day business office operations. The ideal candidate is analytical, detail-oriented, and comfortable working in a hands-on, fast-paced practice environment.

Requirements

High school diploma or equivalent required
At least three years of administrative and clerical experience in a healthcare office setting (medical billing) required, providing excellent customer service.
Understanding of physician office workflows and revenue cycle processes
Two or more years of Accounts Receivable experience required
Able to read, write and communicate in English
Have cognitive skills for math, decision making and excellent communication skills

Nice To Haves

Associate's degree in office administration or related field preferred
orthopedic and pain management billing experience highly desirable
Well-developed skills in medical insurance coordination, eligibility verification, and benefits administration

Responsibilities

Performs duties related to the insurance billing function of the business office
Completes accurate and timely insurance verification.
Processes patient, insurance, and other payments as directed
Prepares weekly and monthly reports on third-party billings
Prepares weekly and monthly reports account pending diagnoses and late charges.
Performs insurance follow-up procedures.
Performs other specified clerical or administrative duties as assigned
Completes the business office work activities assigned daily in a timely fashion
May maintain office equipment, including cleaning, maintenance, and repairs as needed
Answers phones, sorts and distributes mail, and prepares documents
Maintains office files; implements an efficient system for other staff
Ensures services scheduled by outside providers have approved authorization as required by payer and procedure prior to service
Communicates with patients, insurers, and other appropriate parties pertaining to insurance verification and authorization
Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program
Refers underinsured/uninsured patients and/or point-of-service pre-payment required services to the Pre-Service Patient Financial Responsibility and/or Financial Assistance team(s) to determine if the patient is eligible for assistance and obtain payment prior to services being received, when applicable, to help manage the organization's bad debt
Creates a positive patient experience by being polite, compassionate, and professional
Provides cross-coverage and training, when needed, for other team members
Maintains productivity and quality performance expectations
Regular attendance is required to carry out the essential functions of the position
Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role-specific functions
Performs other duties, tasks, and responsibilities as assigned