• Patient Account Representative - OP

    Emory Healthcare/Emory University (Atlanta, GA)


    Overview

     

    Be inspired. Be valued. Belong** **.** **At Emory Healthcare

     

    At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

     

    + Comprehensive health benefits that start day 1

    + Student Loan Repayment Assistance & Reimbursement Programs

    + Family-focused benefits

    + Wellness incentives

    + Ongoing mentorship, development, leadership programs

    + And more

    Description

    RESPONSIBILITIES:

    + Responsible foraccurateposting of insurance company and patient payments, includingaccuratecontractual adjustments and denials.

    + Maintains knowledge of current government and hospital contracts and working knowledge of co-payments and deductibles.

    + Maintains and is familiar with UB and HCFA Billing Manuals.

    + Independently assesses Claim Edit, Transaction Editing System, Clearinghouse, or other applicable billing edit messages to resolve any issues preventing release of physician or hospital claims from Emory's systems.

    + This includesmaintainingup-to-date knowledge of insurance rules, referral requirements, payor websites, eligibility portals, andEmorysverification systems.

    + With increasing self-sufficiency, provide thorough customer service, including robust knowledge of specialty billing practices (e.g.explain anesthesia billing to patients inquiring about medical direction modifiers by rote).

    + Mustdemonstratea working knowledge of CPT, ICD-10, modifiers,codingand documentation guidelines.

    MINIMUM QUALIFICATIONS:

    + High school diploma or equivalent.

    + Two (2) years of collections, billing, and/or registration experience in a healthcare or insurance setting OR any combination of equivalent education and experience.

    + Certified Patient Accounts Representative (CPAR) and/or Certified Patient Financial Counselor (CPFC)preferred forpositions in the hospital setting.

    + Typing skills with a minimum of 35 wpm andgood communicationskills.

     

    Additional Details

     

    Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

     

    Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected] . Please note that one week's advance notice is preferred.

     

    Connect With Us!

     

    Connect with us for general consideration!

     

    **Division** _Emory Univ Hosp-Midtown_

    **Campus Location** _Atlanta, GA, 30308_

    **Campus Location** _US-GA-Atlanta_

    **Department** _EHM TEC Infusion Rheum_

    **Job Type** _Regular Full-Time_

    **Job Number** _150155_

    **Job Category** _Revenue Cycle & Managed Care_

    **Schedule** _7:30a-4p_

    **Standard Hours** _40 Hours_

    **Hourly Minimum** _USD $16.25/Hr._

    **Hourly Midpoint** _USD $21.12/Hr._

     

    Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.