Business Office Specialist Position Available In Leon, Florida

Between $17.00 and
$19.00
Per Hour
DOE (Depends on Experience)
Position range in Florida $18.47 – $24.06 Per hour Business Office Specialist

SOUTHERN VITREORETINAL ASSOCIATES, P.L

Occupation:

Insurance Claims and Policy Processing Clerks

Location:

Tallahassee, FL – 32308
Positions available: 1
Job #: 12473500

Source:

Employ Florida

Posted:

2/27/2025

Updated:

2/28/2025

Expires:

4/28/2025

Web Site:

Employ Florida
Onsite /

Remote:

Work onsite all of the time

Job Type:

Regular, Full Time (30 Hours or More), Permanent Employment Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window. Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window. HS 1 Job Description Help for Job Description. Opens a new window. Job Description Help for Job Description. Opens a new window.

POSITION

 Business Office Specialist

DEPARTMENT

 Central Business Office

REPORTS TO

 Assistant Business Office Manager

JOB SUMMARY

Our Central Business Office is located in Tallahassee, Florida. The ideal applicants will have an extensive knowledge of medical billing, collections, and reimbursement of claims. They will also be highly proficient with all aspects of verifying eligibility and benefits, working patient and insurance accounts, and obtaining authorizations. This person should be a self-starter that works well in a team environment as well as individually with attention to detail.

PRIMARY AREAS OF RESPONSIBILITIES

The duties identified below are the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned that align with the summary of this position. 1. Works accounts as assigned, to resolve issues with outstanding encounters and claims in a timely manner, to ensure SVA receives the reimbursement due for services rendered. 2. Works denials, zero pays, and any correspondence received with an expected 40 hour (5 business days) turn around, reviewing and taking corrective action on denials identified, to obtain reimbursement. 3. Works clearinghouse rejections, correcting/resolving issues and resubmitting payment for reimbursement. 4. Appeals incorrectly paid or denied claims in a timely manner with insurance utilizing payer portals and/or telephone contact with the payer for resolution of issues. 5. Follows up on problem EOBs and “zero” pays that need to be resolved, working with Payment Posting Specialist to ensure correct posting of payments/adjustments. 6. Recognize trends within Insurance AR, keeping Business Office Manager informed and assists in seeking resolution of issues identified. 7. Use and understand the user defined dashboards in NextGen for the work being performed. Maintain productivity goals set by the SVA management. 8. Research credit balances identified on accounts being worked correcting issues creating the credit if possible or providing documentation to the Credit Coordinator, for further research or refund issue. 9. Enters appropriate account notes into NextGen system, documenting actions taken, with the expected end results. 10. Ability and willingness to cross train to assist with other billing functions when needed.

Qualifications:

1. High School diploma or equivalent. 2. Well organized and detail oriented. 3. Working knowledge/experience with medical billing software. 4. Understanding of private insurance rules and regulations.

Job Type and Pay:

Full-time
Starting pay is $17-19 per hour Email a copy of your resume to Human Resources Manager Amy Rubes at amyr@svaretina.com Help for Employer Information. Opens a new window.