Business Office Representative

FLORIDA PACE CENTERS, INC.; Bayshore (FL); On-site; USD 36,000 - 56,000; Full time

Benefits offered by this job

Free on-campus parking

Onsite fitness center

403(b) retirement plan

Medical/dental/vision coverage

Job summary

Miami Jewish Health in Miami, FL is seeking a Business Office Representative for the Florida PACE Centers program to support claims inquiries, payments, and provider communications. This on-site role requires strong MS Office skills and bilingual English/Spanish communication.

The position handles billing support, mail processing, and provider/vendor account verification, with a focus on accuracy and confidentiality.

Qualifications

• High school diploma or equivalent required.
• Minimum two years of experience in customer services in the medical field.
• Ability to handle high call volumes and fast-paced environment.

Responsibilities

• Answer phones and emails for providers and vendors with prompt, courteous assistance (claims status, payment details).
• Generate provider payment details (EOP) and share with providers/vendors on request.
• Verify account information withProviders and vendors.
• Manage and file paperwork related to client care, billing, and compliance; scan documents to electronic sources.
• Update and maintain client records with privacy and regulatory compliance.
• Attend bi-weekly meetings to verify status on tasks and projects.
• Perform additional tasks as assigned by supervisor.

Skills

Bilingual English/Spanish

MS Office Suite

Organizational skills

Education

High School Diploma

Tools

Windows

Microsoft Outlook

Excel

Word

Job description

• Location 5200 NE 2nd Ave,Miami, FL, 33137,United States
• Employee Type Full-Time

Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties.

The following Job Description will also apply at Broward Pace Program sites.

Job Title: Business Office Representative (Florida PACE Centers)

Job Summary

This position is primarily responsible for managing incoming claims status inquiries, providing payment details (EOP). Answering emails from our Vendors and Providers, opening mail, mailing out checks and letters to Providers etc.

Essential Job Functions

• Answering Phones and Emails: Respond to inquiries from healthcare providers and vendors, providing prompt and courteous assistance.
• Billing and Invoicing Support: Generate provider payment details (EOP) and provide to vendor/provider requesting.
• Reach out to Providers and Vendors to verify account information.
• Manage and file paperwork related to client care, billing, and compliance including opening and distributing incoming mail. Complete scanning of documents to electronic sources.
• Maintaining Client Records: Update and maintain accurate client records in the organization’s database, ensuring privacy and compliance with regulations.
• Attends bi-weekly meetings to verify status on upcoming tasks and projects.
• Additional tasks as assigned

Job Requirements

Education:

• High school diploma or equivalent

Experience:

• Minimum two years of experience in customer services in the medical field in a fast-paced environment
• Must have experience handling a high call volume at different times of the day

Licenses/Certifications:

• N/A

Abilities Required

• Knowledge of Windows, Microsoft Outlook, Excel and Word are essential
• Must be able to work independently and have good organizational skills
• Essential to have people skills to always maintain highest level of professionalism
• Must be fluent in English and Spanish reading, writing, and speaking in a professional manner

Functional Demands

Environment Work Conditions:

• Normal working condition with adequate lighting and ventilation

Infectious Material Exposure:

• N/A

Organizational Expectations

• Ensures that resident’s/patient’s rights are adhered to
• Demonstrates professionalism and accountability
• Demonstrates a caring attitude consistent with Miami Jewish Empathicare SM toward MJH residents, patients, family members, employees, and other facility guests
• Demonstrates excellent communication skills
• Ensures confidentiality and security of patients’ medical information
• Identifies and utilizes appropriate channels of communication
• Able to speak, read and write English
• Able to think and act calmly to meet unusual occurrences of the job
• Adheres to the organization’s Mission, Vision and Values
• Participates in departmental activities, meetings and in-services and follows established guidelines
• Maintains a safe working environment

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you’ve ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.

Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.