Revenue Cycle Specialist I at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

18 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Claims Resolution, Financial Counseling, Billing, Insurance Verification, Payment Reimbursement, Account Reconciliation, Referrals, Authorizations, Account Follow-up, EMRs, Payer Requirements, Pre-cert Requirements, Splitting of Claims, Payment Analysis

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 RESPOSIBILITIES: Versatile in all aspects of the Revenue Cycle through Resolution of all patient claims. Identifies patients who require financial counseling intervention; provides information regarding resources for patients who need financial help after discharge and/or during collections and follow up activities. Verifies, researches and completes all paperwork and forms to bill all types of claims for reimbursement. Maintains thorough understanding of insurance, payment reimbursement, account reconciliation, referrals, authorizations, and account follow-up to secure reimbursement of claims. This position requires heavy phone and computer usage, and a detailed knowledge of applicable EMRs, patient accounts, payer, and financial tools. Knowledge of payer requirements including pre-cert requirements, splitting of claims, analyzing payments, researching complex payment variances are critical for patient and/or account resolutions. MINIMUM QUALIFICATIONS: Bachelors Degree with two years of relevant experience; OR any combination of equivalent education and experience. 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 specialist is responsible for resolving all patient claims across the revenue cycle, which includes verifying, researching, and completing all necessary billing paperwork. This role also involves identifying patients needing financial counseling and providing necessary resource information.