Patient Account Rep II - OP at Emory Healthcare

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

08 May, 26

Salary

0.0

Posted On

07 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Advocacy, Account Resolution, Insurance Knowledge, Billing, Collections, CPT Coding, ICD-10 Coding, Communication Skills, Typing Skills, Research Skills, Problem Solving, Customer Service, Financial Counseling, Contractual Adjustments, Denials Management, Credit Balance Resolution

Industry

Hospitals and Health Care

Description

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 RESPONSIBILTIES: 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.

Responsibilities

The Patient Account Representative II resolves complex patient account issues and serves as a patient advocate throughout the account cycle. Responsibilities include collecting and following up on accounts, posting payments accurately, and maintaining knowledge of billing manuals and systems.