Job: Business Office Specialist I

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Job Description

We are now hiring
Req #290
Business Office Specialist I
Thursday, February 22, 2018

The Business Office Specialist I will follow-up on all non-paid claims to maintain accurate patient account records.  Perform follow-up duties in order to collect payment in full on all accounts.  Initiate account adjustments as appropriate.

Education and Experience:

  • High School diploma or equivalency; required.
  • One year experience in a medical and/or behavior health billing setting; required.
  • Computer literacy; required.
  • Medical terminology; required
  • Direct coding experience; preferred.

Knowledge, Skills, and Abilities:

  • Knowledge of ICD-9 and CPT codes.
  • Ability to participate in a teamwork approach to accomplish tasks.
  • Computer literate.
  • Calculator by touch.
  • Effective interpersonal and telephone communication skills.
  • Office organization skills.
  • Ability to work independently.

Duties and Responsibilities:

  • Works all denials according to policy.
  • Files appeals for payment on accounts as necessary.
  • Utilizes the billing system to access accounts needing follow-up, including hold boxes.
  • Prints denials and A/R reports to guide follow-up activities.  Plan emphasis to be determined by Director.
  • Contacts insurance plans as needed either by phone, fax or Internet.
  • Re-files insurance claims when necessary, once claim has been corrected.
  • Notes on accounts all actions taken.
  • Sends electronically secondary insurance claims when needed. . 
  • Seeks clarification from the Director for insurance, payment or adjustment issues.
  • Posts adjustments once approved by Director of Billing and Coding and/or COO.
  • Notifies the Director of Billing and Coding when training issues are discovered.
  • Processes electronic claims on a daily basis.
  • Performs appropriate follow-through from start to finish in accordance with tasks being performed.
  • Maintains proper billing standards in accordance with third-party payors. 
  • Maintains professional and technical knowledge by attending educational workshops.
  • Performs all other related duties as assigned or requested.


As an employee of MHC Healthcare, we share in a very strong mission: Dedication to providing Service Excellence in Promoting Health and Well Being. To support this mission in our community, MHC Healthcare believes it must start at home. Therefore, employees have many opportunities to care for our health and wellness with benefits such as:

  • Medical, dental, vision
  • 403b
  • Short-term disability and other benefits
  • Paid time off (including holidays/vacation/sick leave/community service)
  • Paid bereavement and jury duty
  • Employee discount for medical services
  • Tuition reimbursement

Pay Type: Hourly

Required Education: High School

Location: Marana Main Health Center, Marana, Arizona, United States of America

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