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Description
JOB DESCRIPTION: Oversees and coordinates all activities pertaining to the operations of billing, collections, customer service, and/or registration. Coordinates front-end billing processes for Outreach Billing of slides and/or specimens sent for consultation or evaluation. Enters and maintains data in IDX/HealthQuest systems and follows process from registration to BAR. Communicates with internal and external individuals to obtain information, resolve issues, and maximize reimbursements for services. Accurately posts insurance company and patient payments, including contractual adjustments and denials. Monitors accounts to ensure correct reimbursement is received. Works closely with the manager and supervisors in formulating and implementing departmental objectives. Acts as subject matter expert for their area of expertise. Coaches, mentors, and provides feedback in review process. Assists in training and acts as backup for Supervisor. Performs other related duties as required.
MINIMUM QUALIFICATIONS: Associate's degree with a minimum of 4 years of collections, billing and /or registration experience in a healthcare or insurance setting OR five years of collections, billing and/or registration experience in a healthcare or insurance setting. Knowledge of applicable business software preferred. Third party payor experience required. Certified Patient Accounts Representative (CPAR) and/or Certified Patient Financial Counselor (CPFC) preferred in hospital setting. Typing skills with minimum of 35 wpm. Excellent oral and written communication skills. Knowledge of ICD-9 and CPT coding.
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.
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.