CBO - Business Office Specialist I

Marana Health•Marana, AZ

1d•Onsite

About The Position

Marana Health is seeking a Business Office Specialist to join our Central Business Office team at the Marana Main Health Center, located in the heart of Marana, AZ. The Business Office Specialist provides follow-up on all non-paid claims and maintains accurate patient account records. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Marana Health is building a world-class integrated health care system that is committed to caring for special populations, and focused on improving health outcomes for our patients. This position may be filled as a Business Office Specialist I or II, depending on qualifications.

Requirements

High school diploma or equivalent
1 year experience in a medical or behavioral health billing setting or completion of billing or coding program
Computer proficient
General knowledge of medical terminology
Knowledge of ICD-10 and CPT codes
Ability to participate in a teamwork approach to accomplish tasks
Calculator by touch
Effective interpersonal and telephone communication skills
Office organization skills
Ability to work independently
Excellent customer service, organizational, and communication skills with emphasis on responsiveness, building trust, mutual respect, and courtesy

Nice To Haves

Direct coding experience
Bi-lingual (English/Spanish)
Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

Responsibilities

Ensures encounters are entered into the billing system within 24 business hours of completed office visit and chart completions.
Performs follow-up duties to collect payment in full on all accounts.
Initiates account adjustments as appropriate.
Works all claims denials according to established procedures.
Files appeals for payment on accounts as necessary.
Utilizes the billing system to access accounts needing follow-up, including hold boxes.
Prints denials and A/R reports to guide follow-up activities.
Contacts insurance plans as needed, by phone, fax, or online.
Re-files corrected insurance claims as necessary.
Notes on accounts all actions taken.
Sends secondary insurance claims electronically when needed.
Seeks clarification from the Business Office Manager for insurance, payment, or adjustment issues.
Posts adjustments once approved by Director of Billing and Coding and/or CFO.
Notifies the Manager of Billing and Coding when training issues are discovered.
Performs appropriate follow-through from start to finish in accordance with assigned tasks.
Maintains proper billing standards in accordance with third-party payors.
Maintains professional and technical knowledge by attending educational workshops.
Performs all other related duties as assigned or requested.