Overview

Belong. Connect. Thrive. At Emory Healthcare our team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and unwavering commitment to achieving unparalleled excellence in patient care.

We’re defining a new standard of care for humankind. Are YOU ready to join us?

Description

Patient Account Rep II - OP

• Collects and follows up on all accounts assigned prior to, during, or after admission and discharge. Serves as patient advocate during the cycle of the account.

• Responsible for accurate posting of insurance company and patient payments, including accurate contractual adjustments and denials.

• 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.

• 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).

• Must demonstrate a working knowledge of CPT, ICD-10, modifiers, coding and documentation guidelines.MINIMUM QUALIFICATION:

• 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 for positions in the hospital setting.

• Typing skills with a minimum of 35 wpm and good communication skills.

Additional Details

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Patient Financial Services

Job Type Regular Full-Time

Job Number 129457

Job Category Revenue Cycle & Managed Care

Schedule 8a-5p

Standard Hours 40 Hours

Hourly Minimum USD $16.10/Hr.

Hourly Midpoint USD $20.53/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.