Business Office Associate I

Description Summary:

In this fast-paced environment, under the immediate supervision of the Director of Revenue Services, performs work involving alphabetical and third-party sorting and verification of charges indicated on the patient’s medical bills. Work also involves the completion and transmittal of patient’s insurance forms, indicating a break-down of charges and diagnosis. Supervision takes the form of discussions, conferences, and review of work for conformity with established laws, rules, and regulations.

Essential Functions:

1. Interviews patients in order to obtain pertinent information such as: (1) ability to pay, (2) the presence of third party coverage, (3) the presence of Medical Assistance, and (4) identifying information.

2. Uses data and follows a prescribed formula for computing SIF discounts.

3. Applies discounts to an individual’s account, ensures that discounts are justifiable, correct, and true in accordance with existing laws and regulations.

4. Ensures that account is accurate, true and correct, checks computations, proper addresses, and other pertinent information.

5. Determines and differentiates as to which formula is applicable to the services rendered and reports all irregularities to supervisor.

6. Prepares periodic statement as to total of services rendered and breakdown of these services.

7. Registers patients on a standard computer database.

8. Reviews all charges of incidental services received by individuals and audits all documents submitted for processing in connection with accounts.

9. Perform all other related duties as required or assigned.

10. Employee may be required to handle cash.

Non-essential Functions: Assist with any other duties as assigned. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Evaluation:

The evaluation of work performance is ongoing and will be performed by the Director of Revenue Services and CFO. It will include the specific duties and responsibilities of this position description plus employee attitude and general working behavior. Formal evaluations will normally be performed annually; but may be initiated at other times by the employee, department head, supervisor, or the CEO.

Qualification Requirements:

Ability to understand Corporate and departmental policies, regulations, practices and procedures prescribed for the conduction of business and billing of services. Ability to establish and maintain effective working relationships with co-workers and other contacts.

Education and/or Experience:

High school diploma and four (4) years of progressive experience in a health care setting.

Graduation from a recognized college or university two (2) year program with an Associate of Arts degree in Business Administration or a related field, plus two (2) years of work experience in a business office setting.

Graduation from the twelfth grade including or supplemented by commercial subjects and four (4) years of related experience in the areas of claims examining, interviewing, in a service-oriented or social service setting, accounts clerk or related capacity.

Language Skills:

Ability to read and interpret documents such as operating and maintenance instructions, and procedure manuals. Ability to communicate concisely and clearly orally and in writing with clinical staff, patients, and center staff. Ability to follow simple, oral, and written directions.

Mathematical Skills:

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, area, and percentages. Ability to apply concepts of basic algebra and mathematics.

Reasoning Ability:

Good analytical skills. Ability to solve practical problems and deal with a variety of concrete variables in situations. Proofread documents. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Competency/Skills Requirements:

Competency required in the areas of communication, excellent verbal and written skills. Ability to prepare accurate reports. Ability to prepare complex work rapidly and accurately. Ability to type at least 50 words per minute. Computer literate to include Microsoft Word, Excel and Access. Knowledge and ability to operate all office and business machinery.

Other Skills and Abilities:

Good organizational skills and the ability to perform numerous tasks simultaneously in a fairly complex office environment. Stickler for details, sense of personal responsibility for work performance and a professional attitude. The ability to work without supervision and adhere to policies and procedures. Knowledge of filing practices and procedures; claim processing.

Physical/mental demands:

Physical and mental demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear, sit, and use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to stand, walk, climb, balance on two feet, stoop, kneel, crouch, or reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Mental demands include the ability to learn, adapt to changes, and become proficient quickly, pay close attention to details, courteous and professional demeanor, ability to deal with the stress of meeting deadlines and adhere to company policies and procedures.

Work environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

OSHA Blood Borne Pathogen Exposure Classification:

☐Category I: Job classification includes ALL employees who have occupational exposure* to blood borne pathogens* (blood or body fluids) while performing their job duties.

☐Category II: Job classification includes employees who are likely to have SOME occupational exposure to blood borne pathogens because Category I tasks may occasionally be required.

☒Category III: Job Classification includes those employees who perform jobs and tasks where NO CONTACT with blood borne pathogens occurs and Category I and Category II tasks ARE NOT a condition of employment.