Business Office Specialist

Description

 Position Summary

The Business Office Coordinator supports the day-to-day administrative and operational functions of the business office while serving as a key resource for provider credentialing, medical records management, and revenue-cycle-related administrative tasks. This role combines coordination, technical support, and customer service responsibilities to ensure efficient operations, regulatory compliance, and high-quality service to patients, providers, and external partners.

Essential Duties and Responsibilities

Credentialing & Provider Support

• Coordinate initial and ongoing provider credentialing and recredentialing processes
• Collect, review, track, and maintain credentialing documentation (licenses, certifications, DEA, insurance, contracts, immunizations, etc.)
• Monitor credentialing timelines and expiration dates; ensure timely updates and renewals
• Communicate with providers, payers, hospitals, and internal teams regarding credentialing status
• Maintain accurate credentialing files in accordance with payer, regulatory, and organizational requirements

Medical Records Management

• Manage medical records in compliance with HIPAA, state, and organizational policies
• Scan, index, file, and retrieve records within the electronic health record (EHR) system
• Process medical record requests from patients, providers, and authorized third parties
• Ensure record accuracy, completeness, and timely release of information
• Support audits, quality reviews, and documentation requests as needed

Business Office & Revenue Cycle Support (Specialist Functions)

• Assist with insurance verification, authorizations, referrals, and eligibility      checks
• Support billing and claims processes, including data entry, corrections, and      follow-up
• Respond to patient and third-party inquiries regarding billing, insurance, and      documentation
• Coordinate communication between clinical staff, billing, and external organizations
• Help identify workflow issues and recommend improvements to business office      processes

Administrative & Office Coordination

• Provide general administrative support to the business office
• Assist with scheduling, correspondence, reporting, and data management
• Maintain organized electronic and physical records
• Serve as a point of contact for internal staff and external partners
• Support training of new staff on office processes as assigned
• Perform other duties as necessary to support efficient office operations

Requirements

 Qualifications: Required

• High school diploma or GED
• 2+ years of experience in a healthcare administrative or business office role
• Working knowledge of medical terminology, insurance processes, and HIPAA      regulations
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong organizational skills with the ability to manage multiple priorities
• Excellent written, verbal, and customer service skills