Business Office Representative
2 weeks ago
Job Title: Business Office Representative
Job Summary:
Boulder Medical Center (BMC) is seeking a customer service-oriented candidate to join our Business Office team. This position is benefit-eligible, working full-time 40 hours per week, Monday through Friday.
Job Perks:
- Full-time employees are eligible for medical, dental, vision, flexible spending, company-paid life insurance, and Short Term Disability (STD) as well as several voluntary benefit options, RTD EcoPass, 401(k), Paid Time Off (PTO), and six (6) paid holidays annually.
- Part-time employees are eligible for medical, dental, vision, company-paid life insurance, voluntary benefits, RTD EcoPass, 401(k), and holiday pay (if regularly scheduled to work on an observed holiday).
- Day shift schedules are Monday through Friday. There are occasional voluntary four (4) hour shifts on Saturday mornings from 8 am - 12 pm for several primary clinics (Family Medicine and Pediatrics).
- Experience working in both primary care and specialty care clinics.
Job Duties:
- Establishes and maintains a working knowledge of the Accounts Receivable system. Understands and uses appropriate forms for charges, adjustments, payments, error corrections, error removals, balance transfers, refunds, refund reversals, and communications forms. Able to reconcile account balances by financial class, able to print ledgers and claim forms, explain statement and insurance processing along with their related computer screens to patients, carriers, and co-workers.
- Ensures timely and accurate processing of charge sheets. Reviews documents, makes corrections or additions, and delivers charges to medical billing within established guidelines.
- Receives insurance claim forms. Accurately reviews forms for discrepancies and errors. Makes appropriate changes or additions in a timely manner and submits claim forms to carriers. Shows consistent effort in maintaining clean claims and constantly attempts to expedite the payment process. Understands claim type codes.
- Consistently documents errors and changes made to account transactions and notifies appropriate personnel when consistent errors are found in the claims review process.
- Receives, reviews, and maintains files of current NextGen reports. Works aged trial balance, claim worklists, untagged, insurance overpayment, prepayment, unapplied payments, claim acknowledgement, claim rejects, and other daily/weekly reports as deemed appropriate.
- Accurate typing
- Computer experience
- Operate office machines
- Operate adding machine
- Basic math aptitude
- Detail oriented
- Patience - Tact - Pleasant telephone voice and manner
- Ability to initiate correspondence using appropriate grammar, etc.
- Ability to coordinate the activities of the department.
Education:
- High school diploma or equivalent required. Course in Medical Terminology, Business, or Accounting helpful.
Previous Experience:
- 1-2 years Health Insurance experience or equivalent background.
Location: Boulder, CO
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