Job Description
Position Title: Business Office Associate Level II
Facility Department: Business Office/Administration
Position reports to: Assistant Administrator
Position Summary: Under the direction of the Assistant Administrator greets, checks patients in and out of the ambulatory surgery center (ASC), manages the telephones, authorizations, informs patients of the financial policy, collects patient co-payments and/or deductibles for the services rendered, billing. Works with Senior Business Office Associate to ensure patient authorization information is accurate. Coordinates the scheduling of surgical and/or sedation procedures at the request of surgeons, anesthesiologist and other staff. Collaborates with Medical Director to coordinate and ensure anesthesia coverage for all scheduled surgical procedures. Must exhibit outstanding customer service attitude at all times. Is accountable to establish benchmarks and performance standards as applicable to duties performed. A combination of duties related to record keeping including, but not limited to the ensuring insurance authorizations are obtained in a timely manner. Ensures that any billing or coding is conducted in a timely manner.
Qualifications Requirements: Minimum Education/ Training / Licensure / Certifications: - High school graduate or equivalent
Minimum Experience: - Six months of billing or collections experience.
Preferred Experience: - Two (2) years of experience in a medical office, clinic or other healthcare setting preferred.
- One (1) year of experience with medical records.
Knowledge, Skills, and Abilities: - Ability to answer telephones courteously.
- Basic math skills.
- Ability to anticipate tasks and prioritize assignments.
- Ability to maintain highly sensitive, confidential material.
- Ability to read, write, speak and understand English.
- Ability to input data into computer system.
- Ability to read and maintain medical health records.
- Knowledge of accounting system and insurance issues.
- Knowledge of medical terminology.
- Knowledge of personal computers and related equipment.
- Knowledge of standard office procedures.
- Provides hospitable customer service.
- Maintain filing systems.
- Schedule surgical procedures.
Working Conditions / Environment: - Occasional pressure due to multiple calls and inquiries.
- Generally good working conditions. Little exposure to extremes.
- Work is performed in a busy office environment.
Physical / Mental / Special Demands (Hidden) Physical/Mental/ Special Demands Infrequent (1-2%) Occasional (3-33%) Frequent (34-66%) Constant (67-100%) Sit X Stand X Walk X Lifting 20 lbs. X Carrying 20 lbs. X Pushing 20 lbs. X Pulling 20 lbs. X Kneeling X Squatting X Bending X Stooping X Climbing X Twisting X Reaching overhead X Foot controls X Fine dexterity X Repetitive work- hand/arms X Repetitive work- foot/leg X Required Protective Equipment Patient Care Services Age of Patients Served Population Provides Care Pediatric (6 months-18 years)
Adult (18 years-65 years plus)
N/A
X Description of OSHA Categories: Category I Tasks involve exposure to blood, body fluids, or tissues
Category II Tasks involve no exposure to blood, body fluids, or tissues, but employment may require
Performing unplanned Category I tasks.
Category III Tasks that involve no exposure to blood, body fluids, or tissue, and Category I tasks are not a condition of employment
OSHA Category: POSITION ACCOUNTABILITIES Essential Functions - Performs billing or collections activities as assigned by the management.
- Prepares, calculates and inputs patients/allowances online.
- Makes written and/or verbal inquiries to third party payers or patients to bill, collect or refund patients accounts.
- Answers and screens phone calls.
- Maintains current patient account receivable balances and filing.
- Secures information relative to patient's financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed.
- Answers all inquiries regarding patient accounts.
- Processes subpoenas, court orders and routine request for records. Verifies accuracy of patient information.
- Receives scheduling requests form surgeons, anesthesiologists, or other office staff. Utilizes computer system to determine available times and inputs scheduled cases at preferred times.
- Compiles data and prepares regularly scheduled or special reports, analyses and/or statements.
- Initiates, coordinates, and/or participates in daily huddle meetings to effectively communicate needs and assists with problem resolution
- Makes every effort to ensure customer and patient satisfaction. Resolves concerns of physician, staff, patient and guests.
- Collaboratively works with the clinical team to ensure readiness and preparations for scheduling needs. Obtains approvals from the clinical manager as needed.
- Collaboratively works with the business office to ensure insurance authorizations and approvals from the manager as needed.
- Attends staff meetings/in-service training, as required.
- Provides assistance with day-to-day operations.
(Read only)
- Understands and models Surgicare of Hawaii's mission, vision, and values.
- Reviews department operations manual to ensure compliance and applicable Accreditation Association for Ambulatory Health Care standards, federal and state regulations, accepted Standards of Conduct and Corporate Compliance Program. Complies with all Surgicare of Hawaii's policies, procedures, employee handbook and Standards of Conduct.
- Promotes excellence in customer/patient relations with all encounters.
- Adheres to safety policies and maintains a clean and safe environment for patients and co-workers.
- Participates in departmental and organizational quality improvement efforts.
Other Functions: - Enhances professional growth and development through participation in educational programs. Current literature, in-service meetings, and workshops.
- Performs other related duties as assigned or requested.
- Strive to provide continuous improvement.
- Performs other duties as assigned.
Surgicare of Hawaii, Inc.
Job Tags
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