Business Office Specialist II

AtlantiCare•Egg Harbor Township, NJ

7d•Onsite

About The Position

PERFORMS ACTIVITIES RELATED TO DENIALS, UNRESOLVED PAYMENTS AND REFUNDS. PERFORMS ACTIVITIES RELATED TO DENIAL, UNRESOLVED PAYMENT AND REFUND FUNCTIONS FOR THE PATIENT ACCOUNTING DEPARTMENT IN COORDINATION WITH OTHER REVENUE CYCLE FUNCTIONS TO MEET CUSTOMER REQUIREMENTS, MAXIMIZE REVENUE COLLECTION, AND ACHIEVE BEST PRACTICE TARGETS.

Requirements

High School Diploma is required.
At least 3 years hospital business office experience or a minimum of 5 years experience in the collection field.
Overall knowledge of business office procedures and hospital policies.
General knowledge of third party payors, 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.
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

Nice To Haves

One or two years of college preferred.

Responsibilities

Performs activities related to denials, unresolved payments and refunds.
Performs activities related to denial, unresolved payment and refund functions for the Patient Accounting Department in coordination with other Revenue Cycle functions to meet customer requirements, maximize revenue collection, and achieve best practice targets.
Daily productivity: 120 Billing edits resolved or 40 claims worked on Follow up/Denial (Numbers can change based off complexity).
Will require training of Employees as needed.