Merrimack Valley Endoscopy Center - Business Office Specialist

About Regent Surgical HealthSince 2001, Regent Surgical Health has been a leader in developing and managing successful surgery center partnerships between hospitals and physicians. We continually improve and evolve the ASC model based on changing market conditions to stay ahead of emerging trends. From this vantage point, our team has developed proprietary ASC ownership models that give both physicians and hospitals what they need to ensure long-term clinical and financial success. POSITION SUMMARY:Under the direction of the Business Office Manager, or Center Administrator, the Business OfficeSpecialist (BOS) can assume responsibility for multiple business office functions based on theneeds of the Center. The functions may include any combination of insurance verification, front deskcoordination, surgery scheduling, medical records coordination, collection of financialresponsibilities, and administrative assistance. This role requires strong communication withpatients, internal colleagues, and physician’s offices, attention to detail, and knowledge ofhealthcare insurance plans, billing procedures, and other primary functions associated with amedical practice. This role can also serve as a platform for cross training of Business Officecolleagues.DUTIES/RESPONSIBILITIES Front desk coordination:Answer and triage phone calls, greet and speak with patients and family members in afriendly and compassionate manner.Monitor the main entrance and serve as first point of contact for all visitors at the Center.Maintain daily visitor log.Prepare welcome packets and necessary documentation for next day cases.Provide welcome packets, and check-in patients including collecting and scanning ofdocuments, verify, and input patient data.Print estimate forms and obtain patient signature. Collect payment as needed or set uppayment plans.Give appropriate instructions to patients and family members at the time of admissionregarding expectations of the day.Appropriately record information in patient’s medical record including the download ofinformation from EHR/paper chart to EMR.Responsible for vendor credentialing and access of vendors to the Center.Maintain waiting area and the front desk area in a neat and orderly manner.Surgery scheduling:Receive and review surgery requests from surgeon’s offices and ensure all information iscomplete and entered into EMR.Coordinate with surgeons, patients, and the surgical team to ensure smooth scheduling andefficient use of resources.Resolve scheduling conflicts as they occur and manage late bookings as they occur.Obtain pre-authorizations, collect demographics, and relevant documents needed forbooking the case.Record special equipment or implants as needed for surgical procedures and notifyappropriate parties including pain blocks, anesthesia, and neuromonitoring.Manage and maintain block scheduling; review statistics associated with block utilizationand provide recommendations based on trends.Maintain accurate and up-to-date patient records and documentation.Insurance verification:Verify insurance coverage by confirming patient’s insurance eligibility and benefits withvarious providers (HMOs, PPOs, Medicare, and Medicaid); document and update patientinsurance details in the system and maintain up-to-date records.Investigate and resolve discrepancies in insurance information attached to patient account.Ensure valid authorizations were received from physician’s office for the scheduledprocedure; confirm by contacting insurance companies and contacting physician’s officesin the event of missing authorizations.Communicate coverage details, and financial estimates to patients prior to servicesrendered; obtain payments for procedures; address insurance-related inquiries.Collect any outstanding balances; inform revenue cycle when account has outstandinginsurance balance.Document all necessary information to the billing department for accurate claimsprocessing.Adhere to HIPAA and other relevant regulations.Understand and apply ICD-10, CPT, and HCPCS codes when verifying coverage.Remain current on all case verification; the standard operating procedure is two weeks priorto date of service.Notify the Business Office Manager in the event of insurance or authorization discrepanciesor balances due.Run daily reports to ensure all cases are verified, authorized, and financial counseling iscomplete.Administrative assistance:Answer and triage phone calls, greet and speak with patients and family members in afriendly and compassionate manner.Assist in monitoring the main entrance and serve as a point of contact for all visitors at theCenter.Manage incoming and outgoing mail and faxes.Compose emails and other correspondence.Schedule meetings, manage calendars, coordinate meetings and events.Maintain physical and electronic files, databases, and other record-keeping systems.Prepare memos, reports, invoices, and other documents; proofread and edit writtenmaterials.Order office supplies, coordinate equipment maintenance, and manage vendorrelationships.Book flights, hotels, and transportation for employees.Assist with project management tasks such as tracking deadlines and facilitatingcommunication.Maintain waiting area and the front desk area in a neat and orderly manner.Maintain confidentiality of Center and patient information at all times to ensure compliance.Perform other duties as assigned.EDUCATION/EXPERIENCEREQUIRED:High school diploma or equivalentMedical office experienceProficient computer skills and office administrative experienceBLS certification (as required by individual ASC policy)PREFERREDInsurance verification or billing experience in a healthcare environmentAmbulatory surgery center business office experience