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