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Work Shift Day
Work Day(s) Monday-Friday
Shift Start Time Variable
Shift End Time Variable
Worker Sub-Type Regular
Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.
Job Description Interprets third-party correspondence correctly and timely and applies to core revenue cycle information system(s) triggering appropriate departmental work process, including accounts receivable collections, denial appeal processing, and underpayment recovery. Produces daily posting of third-party transactions, including denial and comment transactions and balancing of cash transactions received in the form of electronic remittance files, lockbox, and mail deposits. Works in partnership with other team members to provide quality service to proactively support efforts that ensure delivery of safe patient care and services and promote a safe environment at Children’s Healthcare of Atlanta.
Experience
3 years of experience in a healthcare accounts receivable-related capacity, e.g., billing, collections, customer service, cash applications
Preferred Qualifications
3 years of experience in a healthcare or professional cash applications inclusive of electronic remittance posting
Education
High school diploma or equivalent
Certification Summary
No professional certifications required
Knowledge, Skills, and Abilities
Working knowledge of healthcare explanation of benefits
Ability to work effectively with various healthcare information systems, e.g., Epic Resolute, Epic Cash Management, Change Healthcare, Dentrix,
Excellent data entry skills
Critical thinking skills
Intermediate level skill in Microsoft Excel
Ability to work with a high attention to detail while maintaining production standards
Ability to multitask, work independently and learn quickly
Ability to navigate multiple websites
Job Responsibilities
Navigates payer websites to download and process daily posting files.
Moves files accurately through the posting process by placing in the correct network path to trigger appropriate work processes.
Performs interpretation, transaction posting and validation of payment information from third-party batches in the form of images via an electronic posting system or hard copy paper correspondence.
Performs corrections and edits to batches and/or electronic remittance files as assigned by Cash Applications Supervisors or Cash Application Manager to enable timely and accurate posting of third-party transactions.
Interprets and posts denial transaction codes as defined by the payor and provider organization to ensure timely and accurate routing of denial follow-up and appeal activities.
Performs research on a routine basis to determine appropriate posting account for unidentified payments received by the payor or patient, including contacting third-party payors and/or patients to inquire about correct payment account.
Performs distribution of undistributed insurance payments where manual intervention is necessary for the accurate and timely record of payment or denial information against outstanding accounts receivable.
Collaborates with multiple Revenue Cycle departments to investigate location of a stated missing payment and provide professional and timely feedback of research results.
Conducts scanning and indexing functions in conjunction with document-storing and balancing procedures.
Reconciles postings to deposit transactions on a daily basis for all assigned deposit transactions for all facilities or divisions and balancing by payor and check.
Creates Cash Management records for missing remittances or unreconciled transactions as a result of reconciliation processes.
Actively identifies trends in payment posting issues and communicates those issues to the Cash Applications Supervisor for improved processes.
Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address 1575 Northeast Expy NE
Job Family Patient Financial Service

Please refer the Job description for details