Business Office Specialist

• Support hospital and clinic revenue cycle processes, including claim submission for all payers, payment posting, denial management, appeals, and collections.
• Manage self-pay collections and resolve outstanding account balances.
• AR follow-up to review, identify, and resolve discrepancies.
• Research and resolve complex credit balance scenarios.
• Use Cerner (Oracle) to review account information, document activity, and resolve billing and collection issues.
• Use FinThrive Clearinghouse to resolve billing edits and submit secondary claims.
• Review payor contracts and reimbursement methodologies to identify and resolve payment discrepancies.
• Apply knowledge of coding guidelines, regulations, and reimbursement methodologies to resolve account issues.
• Collaborate with clinical and financial teams to address issues affecting revenue.
• Analyze metrics and reports to identify opportunities to improve revenue cycle performance.
• Follow revenue cycle best practices and perform other duties as assigned.

Skills and Education

• High school diploma.
• Three or more years of experience in accounts receivable or revenue cycle management.
• Knowledge of hospital and clinic revenue cycle processes, including claim submission, payment posting, denial management, appeals, and collections.
• Knowledge of coding guidelines, applicable regulations, payor contracts, and reimbursement methodologies.
• Experience with Medicare billing and collections, the Medicare DDE system, self-pay collections, and complex credit balance resolution.
• Proficiency with Cerner (Oracle), Microsoft Excel, and Outlook; experience using FinThrive Clearinghouse to resolve billing edits and submit secondary claims.
• Strong communication, organizational, time management, interpersonal, and problem-solving skills, with the ability to work independently and collaboratively with minimal supervision.
• Commitment to the core values of Team, Integrity, Growth, and Innovation.