Revenue Cycle Specialist

Description

REQUIREMENT:

 

• Versatile in all aspects of the Revenue Cycle through Final Claims Resolution.
• This position updates demographic and insurance information for accuracy on all patients.
• Collects and follows up on all accounts assigned prior to, during or after admission and discharge.
• 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.
• This may include insurance company, drug replacement, and/or Pharmaceutical programs to help patients with their out of pocket expenses for drugs.
•  Identifies and notifies leadership of issues and initiates appropriate action for resolution.
• Maintains thorough understanding of insurance, payment reimbursement, account reconciliation, referrals, authorizations, and account follow-up to secure reimbursement of claims.
• Must be able to review and operationalize contracts as it relates to billing and reimbursement of claims, including infusion, transplant and other complex accounts.

 

MINIMUM QUALIFICATONS:

• Bachelors Degree with three years of revenue cycle experience; OR any combination of equivalent education and healthcare experience.
• Certified Patient Accounts Representative (CPAR) and/or Certified Patient Financial Counselor (CFC) preferred.

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.