Business Office Specialist Resume Samples

Description :

1. Process all outgoing and incoming physician orders, (signed and/or unsigned).
2. Review physician orders for any errors and correct.
3. Print, fax, and/or interface physician orders to physicians in AL and other surrounding states.
4. Scan, name, file, and attach physician orders to an EMR (Electronic Medical Record).
5. Communicate with clinicians to insure consistency in the content of physician orders before processing.
6. Communicate with marketers to ensure timely return of physician orders.
7. Medical records clerk and interim receptionist answering multi-line telephone.
8. Communicate with patients, clinicians, physician offices, and other medical facilities in a polite and cordial manner.

Experience

2-5 Years

Level

Entry Level

Education

Medical Office

Description :

1. Review time sheets, work charts, wage computation, and other information to detect and reconcile payroll discrepancies.
2. Completed time sheets showing employees' arrival and departure times.
3. Performed other clerical duties such as answering telephone, sorting and distributing mail, running errands or sending faxes.
4. Operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.
5. Answer telephones, direct calls, and take messages.
6. Maintain and update filing, inventory, mailing, and database systems, either manually or using a computer.
7. Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders, and address complaints.
8. Review files, records, and other documents to obtain information to respond to requests.

Experience

2-5 Years

Level

Executive

Education

MOS Certificate

Description :

1. Verifies insurance for prospective patients to the Center, verification process includes contacting insurance company via phone, email or fax.
2. Contacts family as well, to do financial applications via phone.
3. Financial- Accounts Receivable-Handles contacting patients, family members, Power of Attorney's or Legal Guardians etc re..current billing issues, or outstanding bills that pertain to the past or current stay here at the Facility.
4. Answers and handles any billing questions for our Fiscal Office.
5. Receives any monies owed to the Facility for current or outstanding bills.
6. Handles and assists patients with bank account issues and transactions such as withdrawals and deposits.
7. Assistant Case Manager, assists supervisor with case management as needed, faxing, emailing or calling Case Managers at the insurance companies to advise the current clinical status of the patients to help keep their health care coverage valid and up to date.

Experience

7-10 Years

Level

Management

Education

GED

Description :

1. Work the front desk, register patients, collect co-pays and document patient charts.
2. Schedule surgeries, verify insurance and notify patients of financial responsibility do at the time of service.
3. Follow up on denied claims, and claims not paying a timely manner.
4. Identify coding and billing issues from payer remits and work to correct the errors and timely manner.
5. Run reports to monitor aged accounts that are not paid correctly and in a timely manner.
6. Post insurance payments two accounts and balance bill to patients Accomplishments The impact that I made on this position is that I was able to start this job and learn their processes very quickly.
7. Skills Used Customer service is my strong point.

Experience

5-7 Years

Level

Executive

Education

Medical Billing

Description :

1. Provide support for the field clinicians in a variety of areas.
2. Input critical medical data insuring accuracy to provide information to clinicians to provide proper patient care.
3. Maintenance of patient medical records and data as well as the tracking systems for physician's orders and scheduling orders when received.
4. Provide accurate submission of billing codes and data ensuring that payment can be received by insurance companies, Medicare and Medicaid.
5. Maintain office supply and medical inventory supply and distribution.
6. Participate in Inventory Control processes.
7. Track and report on clinicians' missed visits and transitions.

Experience

7-10 Years

Level

Management

Education

Real Estate

Description :

1. Responsible for performance and accuracy of data input.
2. Maintenance of patient medical records and data as well as the tracking systems for physician's order.
3. Participate and work in a collaborative manner to assists in the timely and accurate submission of billing and payroll.
4. Verify and continuously monitor Medicaid authorizations, approvals, and visits.
5. Maintain office supply and medical inventory supply and distribution.
6. Participate in Inventory Control processes.
7. Demonstrate a desire to set and meet objectives and find increasingly efficient ways to perform tasks.

Experience

7-10 Years

Level

Management

Education

Associate of Science

Description :

1. Manage a team of 10+ nursing professionals Carefully selected, developed and retained qualified staff as well as trained new staff.
2. Evaluated patient care procedural changes for effectiveness.
3. Expertly planned, coordinated and organized nursing staff.
4. Implemented standards and methods to measure effectiveness of agency activities.
5. Provided thorough supervision for day-to-day operations of facility in accordance with set policies and guidelines.
6. Regularly evaluate employee performance, provided feedback of nursing staff as needed.
7. Minimized staff turnover through appropriate selection, orientation and leadership.

Experience

5-7 Years

Level

Executive

Education

BA

Description :

1. Prepared schedules for therapists/nurses on a weekly basis.
2. Ensured company was in compliance with the Medicare/Government standards for billing.
3. Entered incoming and outgoing referrals Managed and checked for accuracy of patient's records, doctor's orders, and insurance documents.
4. Maintained database of patients' personal profiles using customized automated systems.
5. Organized and assembled start-up care packages for new patients receiving occupational and physical therapy for home health aides.
6. Submitted patient orders to doctors' for approval to generate insurance reimbursements.
7. Submitted and followed-up on insurance claims and completed all edits to ensure claim submissions were compliant with federal and state regulations.
8. Received and reviewed incoming documentation to generate reports for billing cycles.

Experience

2-5 Years

Level

Junior

Education

Bachelor Of Arts

Description :

1. Maintain accurate, timely and thorough documentation regarding verification and account activity for 600+ patients per month; Monitors and maintains patient accounts to record all actions taken on account.
2. Completes weekly reporting to BOM and Administrator.
3. Thorough knowledge and understanding of medical insurance and how to obtain information from insurance companies.
4. Create & submit appeals for claims paid incorrectly or not paid at all achieving 90% payment on claims.
5. Responsible for handling inbound calls regarding insurance claims, billing issues and eligibility of benefits from patients and physician staff.
6. Meet exceed/minimum verification quota of 30 patients per day - typically 40+ Knowledge of AdvantX A/R system.
7. Understanding of ICD-10, HCPCS/CPT coding and medical terminology.

Experience

5-7 Years

Level

Management

Education

Healthcare Administration

Description :

1. Maintain the ongoing scheduling of patient visits for all assigned field staff; communicate updates in regards to revisions and new admissions to ensure continuity and coordination for patient care services.
2. Schedule and confirm all visits based on patient's needs, staff experience, and geographical locations.
3. Input patient data into Oasis system and transmit accurate and timely information.
4. Assist with billing frequencies and presence of orders every billing period.
5. Assemble and organize admission, discharge, and post-hospital packets.
6. Assist Clinical Supervisor or Manager with generating correspondence.
7. Assist Business Office Manager with HR filing and inputting clinicians' medical updates properly in employees' files.

Experience

5-7 Years

Level

Executive

Education

Healthcare Administration

Description :

1. Help our clinicians focus on patient care by providing them the support they need in a variety of areas.
2. Responsible for performance and accuracy of data input.
3. Maintenance of patient medical records and data as well as the tracking systems for physician's orders.
4. Participate and work in a collaborative manner to assists in the timely and accurate submission of billing and payroll.
5. Verify and continuously monitor Medicaid authorizations, approvals, and visits.
6. Maintain office supply and medical inventory supply and distribution.
7. Participate in inventory control processes.
8. Schedule all visits based on patient needs, staff experience, and geographical location.

Experience

2-5 Years

Level

Junior

Education

General Education

Description :

1. Responsible for performance and accuracy of data input Maintenance of patient medical records and data as well as the tracking systems for physician's orders.
2. Participate and work in a collaborative manner to assist in the timely and accurate submission of billing and payroll.
3. Verify and continuously monitor Medicaid authorizations, approvals, and visits.
4. Maintain office supply and medical inventory supply and distribution.
5. Participate in inventory control processes.
6. Schedule all visits based on patient need, staff experience, and geographical location.
7. Demonstrate a desire to set and meet objectives and find increasingly efficient ways to perform tasks.
8. Responsible for therapy scheduling, FA exception report and working therapy daily billing reports.

Experience

0-2 Years

Level

Junior

Education

Education Services