Patient Account Representative - OP

Overview

Be inspired.  Be rewarded. 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, and leadership programs  
• And more 

Description

RESPONSIBILITIES: 

• Responsible for accurate posting of insurance company and patient payments, including accurate contractual adjustments and denials.
• Maintains knowledge of current government and hospital contracts and working knowledge of co-payments and deductibles.
• Maintains and is familiar with UB and HCFA Billing Manuals.
• 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.

MINIMUM QUALIFICATIONS:

• 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.