Emory Healthcare/Emory University
Patient Account Representative – OP
Emory Healthcare/Emory University, Atlanta, Georgia, United States, 30383
Overview
Be inspired. Be valued. Belong. At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and 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
As part of a team or works independently to resolve complex patient account issues.
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.
Responsible for complete and accurate resolution of credit balance invoices through telephone, mail, and research efforts.
Maintains and is familiar with UB and HCFA Billing Manuals.
Coordinates classification for bad debt and charity. Maintains knowledge and is familiar with Patient Accounting system.
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 includes maintaining up-to-date knowledge of insurance rules, referral requirements, payor websites, eligibility portals, and Emorys verification systems.
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 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 careers@emoryhealthcare.org . Please note that one week’s advance notice is preferred.
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.
#J-18808-Ljbffr
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and 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
As part of a team or works independently to resolve complex patient account issues.
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.
Responsible for complete and accurate resolution of credit balance invoices through telephone, mail, and research efforts.
Maintains and is familiar with UB and HCFA Billing Manuals.
Coordinates classification for bad debt and charity. Maintains knowledge and is familiar with Patient Accounting system.
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 includes maintaining up-to-date knowledge of insurance rules, referral requirements, payor websites, eligibility portals, and Emorys verification systems.
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 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 careers@emoryhealthcare.org . Please note that one week’s advance notice is preferred.
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.
#J-18808-Ljbffr