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Become A Business Office Specialist

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Working As A Business Office Specialist

  • Interacting With Computers
  • Getting Information
  • Documenting/Recording Information
  • Organizing, Planning, and Prioritizing Work
  • Processing Information
  • Deal with People

  • Mostly Sitting

  • Repetitive

  • $33,040

    Average Salary

What Does A Business Office Specialist Do At HCA, Hospital Corporation of America

* Responsible for various business office functions, including: billing, cash posting, chart preparation, cash posting, collections, insurance verification, medical records, patient registration, and scheduling.__
* Responsible for performing registration functions of patient admissions, including reviewing all information with patient, completing appropriate forms, and copying appropriate insurance cards and photo identification.__
* Performs insurance pre-certification, verification, and interviews patients prior to surgery.
* Verifies and obtains all patient eligibility, authorizations, benefits, and claim information with insurance companies.__
* Reviews the insurance contract profiles in AdvantX and manages reimbursement process.
* Works with electronic billing vendor to resolve any e-billing issues, denied claims, etc._ _Processes all insurance claims in clearinghouse (GHN).__
* Performs collections, reconciliation, and follow up activities timely on all accounts._ _Negotiates payment plans on self pay accounts utilizing established policies regarding Settlement Discounts.__
* Schedules patient surgical procedures and maintaining the surgery schedule.__
*

What Does A Business Office Specialist Do At Surgery Care Affiliates

* Possess strong initiative to get daily work finished and processed.
* Work with physician’s offices on scheduling patients of surgeries.
* Has ability to communicate effectively with patient, physicians and other staff members.
* Strives to be professional, courteous, helpful and cooperative.
* Verify that sufficient information is available for accurate verification and eligibility.
* This step may require direct contact with the physician office and/or the patient.
* Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
* Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
* Obtain authorizations from insurance companies/physician offices.
* Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization.
* Ensure the authorization has not expired.
* Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract and plan as applicable.
* Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/co-pay/co-insurance.
* Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and workmen’s compensation fee schedule.
* Document in SCA’s patient accounting system.
* Document all information and outcomes in and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable

What Does A Business Office Specialist Do At Aseracare

* May prepare reports utilizing all data and computer systems to share with the administrator and/or central billing office, as appropriate.
* May assist families with Medicaid eligibility process, including documenting in appropriate systems all follow-up and monitoring until process complete
* Works closely with the location to maintain all necessary data and files to support the billing and financial activities
* Performs On
* Boarding function for specific disciplines
* Manages all personnel records, employee medical records, and mandatory periodic reports
* Processes Accounts Payable in accordance with business office policy and procedure
* Maintains select patient/resident records (paper and electronic)
* Perform all payroll related job duties
* Coordinates the daily flow of financial information / documentation to and from the central billing office (CBO) to facilitate the timely billing and collection of accounts receivable.
* Performs all duties as trust fund custodian in accordance with Resident Trust Fund policies and procedures including weekly reconciliation (GLC only)
* Code of Conduct
* Must adhere to the Company's Code of Conduct and Business Ethics policy including documentation and reporting responsibilities
* Position Requirements

What Does A Business Office Specialist Do At Munson Healthcare

* Distribution of interoffice mail within the Business Office and to other departments as determined by the content.
* Retrieving information for billers and accounts receivable as well as some requests from Patient Accounts, by use of PC screens such as A/R Inquiry and Medical Records Inquiry to locate information.
* Making copies of payment vouchers as needed by billers, accounts receivable or Patient Accounts.
* Attach primary carrier vouchers to commercial rebills.
* Fold and mail out commercial hard copy claims.
* Using microfiche or CD
* ROM machine to supply copies of itemized statements, zero deletes, UB92, and other vouchers when needed for refunds or billing, or request rebill via FIS.
* Making comments to A/R accounts for follow-up for billers, such as pend for Medicaid and Work in Progress of Medicare.
* Answer telephone in a timely and courteous manner and record accurate messages.
* Files inpatient, outpatient, and series cases in the specified filing cabinets as well as the storage area in the basement.
* Requires some lifting.
* Typing of memos and letters/or billing claims via Microsoft Word.
* Updating patient information on the Medstar system.
* Obtaining patient insurance information for the biller by use of Access, Hart or

What Does A Business Office Specialist Do At Doctors Hospital at Renaissance

* Promotes the facility mission, vision and values by effectively communicating them to others.
* Considers mission, vision and values in developing services, standards and practices Receives incoming and outgoing calls from patients and informs them of their balance due after insurance has paid.
* Assists patients and carriers with questions and concerns regarding the billing and collections of accounts.
* Obtains copies of required insurance identification cards, as needed.
* Works special projects as assigned.
* Assist with posting payments and identifying correct I-plan Daily download and review report of patient balance for statement release.
* Update address on return mail as needed Review RAs and EOB s total charges, amount of insurance payment and balance owed by patient or responsible party.
* Explains hospital payment policies and collects patient balance due and writes receipts for all payments collected.
* Performs daily reconciliation of petty cash.
* Download and post electronic remits and apply payments and adjustments as per I-plan.
* Make deposits to the bank.
* Researches credit balances for accurate processing of refunds due to over payments and/or allowances requiring a correction in a timely manner.
* Prepares credit worksheet and processes all transactions required to request refund checks or to correct account balances.
* Transfers patient credit balances to outstanding accounts according to hospital policy and procedure, and prepares letters of explanation concerning refund issued to third party payers and patients.
* Researches and prepares quarterly Medicare credit report.
* Responds to all mail and phone calls concerning credit balances and refunds checks.
* Completes provider applications for payers Follows-up accounts on assigned ATB and/or custom reports and contacts insurance carrier for payment and/or recoupment s.
* Enter appropriate mnemonic in the notes tab Utilizes tickler, when requesting additional information from other co-workers or departments Responds to correspondence from insurance carriers in a timely manner.
* Determines financial status and refers patient for financial screening as appropriate Ability to identify accounts that need insurance billing or rebilling Adheres to collection tips booklet when contacting insurance carrier.
* Demonstrates proficiency in billing and follow up of Medicare, Medicaid claims on-line or through billing software Proficient in accessing information needed from Cerner and AX document imaging software.
* Request copies of medical records from HIM for any paper records Ability to access medical records from Cerner system to appeal claims with carriers.
* Enter and maintain appealed accounts through the variable data system.
* Maintain PMMC software system for carrier over and under payments to facility.
* Create appeal letters with appropriate details of appeal Select correct adjustment codes on adjustment form to appropriately document reason for adjustment Complete adjustment form appropriately with the correct dollar amount assigned to the adjustment code Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.
* Other duties as assigned

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How To Become A Business Office Specialist

High school graduates who have experience using computer software applications, such as word processing and spreadsheets, usually qualify for entry-level positions. Although most secretaries learn their job in several weeks, many legal and medical secretaries require additional training to learn industry-specific terminology. Executive secretaries usually need several years of related work experience.

Education

High school graduates can take courses in word processing and office procedures at technical schools or community colleges. Some temporary placement agencies also provide training in word processing, spreadsheet, and database software.

Some medical and legal secretaries learn industry-specific terminology and practices by attending courses offered at community colleges or technical schools. For executive secretary positions, employers increasingly prefer to hire those who have taken some college courses or have a bachelor’s degree.

Training

Secretaries and administrative assistants typically learn their skills through short-term on-the-job training, usually lasting a few weeks. During this time they learn about administrative procedures, including how to prepare documents. Medical and legal secretaries’ training may last several months as they learn industry-specific terminology and practices.

Work Experience in a Related Occupation

Executive secretaries can gain experience by working in administrative positions that have less challenging responsibilities. Many secretaries and administrative assistants advance to higher level administrative positions.

Licenses, Certifications, and Registrations

Although not required, certification can demonstrate competency to employers.

The International Association of Administrative Professionals offers the Certified Administrative Professional (CAP) certification. Candidates must have a minimum of 2 to 4 years of administrative work experience, depending on their level of education, and pass an examination.

Legal secretaries have several certification options. For example, those with 1 year of general office experience, or who have completed an approved training course, can acquire the Accredited Legal Professional (ALP) certification through a testing process administered by NALS (previously known as National Association of Legal Secretaries). NALS also offers the Professional Legal Secretary (PLS) certification, considered to be an advanced certification for legal support professionals.

The Certified Legal Secretary Specialist (CLSS) certification is conferred by Legal Secretaries International in areas such as intellectual property, criminal law, civil litigation, probate, and business law. Candidates typically need to have 5 years of legal experience and pass an examination to become certified.

Advancement

Secretaries and administrative assistants generally advance to other administrative positions with more responsibilities, such as office supervisor, office manager, or executive secretary.

With additional training, many legal secretaries become paralegals or legal assistants.

Important Qualities

Integrity. Many secretaries and administrative assistants are trusted to handle sensitive information. For example, medical secretaries collect patient data that is required, by law, to be kept confidential in order to protect patient privacy.

Interpersonal skills. Secretaries and administrative assistants interact with clients, customers, or staff. They should communicate effectively and be courteous when interacting with others to create a positive work environment and client experience.

Organizational skills. Secretaries and administrative assistants keep files, folders, and schedules in proper order so an office can run efficiently.

Writing skills. Secretaries and administrative assistants write memos and emails when communicating with managers, employees, and customers. Therefore, they must have good grammar, ensure accuracy, and maintain a professional tone.

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Business Office Specialist jobs

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Business Office Specialist Career Paths

Business Office Specialist
Office Manager Operations Manager General Manager
Account Manager
5 Yearsyrs
Human Resources Coordinator Benefit Specialist Billing Specialist
Accounts Receivable Manager
6 Yearsyrs
Office Administrator Home Health Aid Front Desk Agent
Assistant General Manager
5 Yearsyrs
Office Manager Billing Specialist
Billing Manager
7 Yearsyrs
Billing Specialist Accounts Receivable Specialist Accountant
Business Manager
7 Yearsyrs
Accounting Clerk Billing Specialist Business Office Manager
Business Office Director
8 Yearsyrs
Accounts Receivable Specialist Account Manager Billing Specialist
Business Office Manager
8 Yearsyrs
Business Office Manager Human Resources Manager Program Manager
Clinical Director
9 Yearsyrs
Medical Assistant Licensed Practical Nurse Staff Nurse
Clinical Manager
8 Yearsyrs
Medical Coder Adjunct Instructor Associate Director
Director Of Admissions
7 Yearsyrs
Business Office Manager Business Manager Controller
General Manager
7 Yearsyrs
Accounts Receivable Specialist Accounts Receivable Manager
Office Manager
5 Yearsyrs
Billing Specialist Specialist Account Manager
Operations Manager
7 Yearsyrs
Medical Coder PRN Registered Nurse Case Manager
Patient Care Manager
9 Yearsyrs
Licensed Practical Nurse Staff Nurse Nurse Manager
Patient Services Manager
8 Yearsyrs
Office Administrator Practice Manager
Practice Administrator
10 Yearsyrs
Medical Assistant Office Manager
Practice Manager
9 Yearsyrs
Business Manager Realtor Leasing Consultant
Resident Manager
5 Yearsyrs
Business Manager Billing Manager
Revenue Manager
8 Yearsyrs
Human Resources Coordinator Specialist Case Manager
Unit Manager
6 Yearsyrs
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Business Office Specialist Demographics

Gender

  • Female

    85.8%
  • Male

    12.6%
  • Unknown

    1.6%

Ethnicity

  • White

    80.5%
  • Hispanic or Latino

    10.9%
  • Asian

    6.5%
  • Unknown

    1.5%
  • Black or African American

    0.7%
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Languages Spoken

  • Spanish

    80.8%
  • Ukrainian

    3.8%
  • French

    3.8%
  • Russian

    3.8%
  • Polish

    3.8%
  • Arabic

    3.8%
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Business Office Specialist

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Business Office Specialist Education

Business Office Specialist

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Top Skills for A Business Office Specialist

BusinessOfficeMedicalRecordsFinancialStatementsCustomerServiceDataEntryInsuranceCompaniesFinancialAidMedicalInventoryPhoneCallsPatientAccountsDataInputAuditInsuranceVerificationPatientChartsOfficeSuppliesPatientInformationGeographicalLocationPatientCareServicesPhysicianSOrdersMedicalSupplies

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Top Business Office Specialist Skills

  1. Business Office
  2. Medical Records
  3. Financial Statements
You can check out examples of real life uses of top skills on resumes here:
  • Participated as a member of the Business Office Specialist team to ensure patients were registered in a timely manner.
  • Conducted quantitative and qualitative analysis of patients' medical records to ensure completeness, accuracy and compliance with applicable regulations.
  • Exhibited exceptional skills in providing customer service to more than 50 administrators within the School of Medicine.
  • Provided modeling, data entry, reporting and general administrative capabilities in support of business management processes.
  • Call Insurance companies regarding outstanding claims, file appeals, and send medical records when requested.

Top Business Office Specialist Employers

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Business Office Specialist Videos

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