Business Office Support

Position: Business Office Support

Reports to: Business Office Supervisor or Office Administrator

Position Summary

The Business Office Support is responsible for processing authorizations, releasing medical records, billing claims, working claim denials, coding E/M visits, and assisting with other general office and department needs.

Specific Responsibilities

1. Cash Posting

· Applies patient and payer payments to patient accounts

· Processes claims to additional payers (secondary, tertiary, patient, etc.)

· Assists with working Accounts Receivable spreadsheet

· Transcription experience

2. Billing

· Processes E/M billing claims to payers

· Receives notice of denial (Explanation of Benefits) from the payer

· Performs follow-up phone calls with insurance and clients

· Performs follow-ups with payer for additional information needed if necessary

3. Authorizations

· Works EMA Order Log to determine which orders require authorization

· Submits authorization requests via phone or electronically on payer portals

· Tracks authorization requests for approval

· Communicates authorization status with provider and provider teams

· Updates EMA chart with authorization dates, benefits, and any other pertinent information

4. Medical Records

· Process provider to provider records releases

· Follow all release of information guidelines

· Support medical record specialist

5. E/M Coding

· Codes office visit notes for ICD-10 and CPT accuracy

· Queries providers as needed with questions

· Bills claims to payers

· Works rejections and denied claims

6. Educational Requirements

· High school diploma

· Experience working with healthcare coding, billing, denials and authorizations

· Some work in healthcare is encouraged but not necessary

· Knowledge of Microsoft system and competent computer skills

7. Other Job-Related Duties and Responsibilities

· Cross covers other tasks for department days off and vacations

· Scans and uploads all documents into EMA

· Assists with other department needs as time allows

· Performs other related duties as assigned by director

Qualifications

· Possesses strong interpersonal skills to interact with patients and their families

· Ability to work with a team approach and coordinate multiple schedules

Working Conditions

A. Environmental Conditions

Inside: 95–100% Outside: 0–5% Temperature: 30°F–115°F
Fumes: seldom Dust: occasional Gases: never
Odors: seldom Mist: seldom Radiation: never

Noise or Vibrations: Running equipment, testing equipment, alarm buzzers, phones, computer and printer, and possible office equipment, music.

Hazards: Contact with communicable disease, electrical equipment, bloodborne pathogens, etc.

Personal Protective Equipment: Provided gowns, gloves, goggles, and masks.

B. Physical Demands

Standing: 0–15% Sitting: 10–100%

Walking: 0–20% Lifting: 35# infrequently, 20# or less frequently
Carrying: 0–25% lbs infrequently Pushing: 0–400 lbs via wheelchair infrequently
Kneeling: rarely Pulling: infrequent

Bending: occasional Squatting: infrequent
Crawling: no Reaching: infrequent

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Experience:

• medical billing: 1 year (Preferred)

Work Location: In person