Patient Account Representative - OP

Description

REQUIREMENT:

 

• As part of a team or works independently to resolve complex patient account issues.
• Maintains and is familiar with UB and HCFA Billing Manuals. Coordinates classification for bad debt and charity.
• 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.
• With increasing self-sufficiency, provide thorough customer service, including robust knowledge of specialty billing practices (e.g. explain anesthesia billing to patients inquiring about medical direction modifiers by rote).
• Must demonstrate a working knowledge of CPT, ICD-10, modifiers, coding and documentation guidelines.
• Payment Posting specialists must demonstrate strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined to maintain compliance. Under supervision, responsible for reviewing scheduled elective accounts to ensure that certification has been obtained. 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.