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 

REQUIREMENTS:

• This position requires a comprehensive understanding of accounts receivable management in a healthcare setting.
• Demonstrates working knowledge of all major insurance payers, Auto, Work Comp and Liability insurance carriers preferred.
• AR: Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites and filing appeals.
• CREDIT BALANCE: Responsible for all facets of refunds and credit balance resolution including direct phone calls to Patients, Insurance Companies, and other departments as necessary in order to resolve credit balances.
• CUSTOMER SERVICE: Provides excellent customer service through final resolution which includes answering patient inquiries via verbal and written communication. Responsible for contacting patients regarding past due amounts.
• PRE-CERTIFCIATION: Under minimal supervision, responsible for reviewing all types of scheduled accounts to ensure that certification has been obtained. Will maintain open communication and be available to various department stakeholders for feedback/updates on case status.
• SPECIALTY BILLING: Specialty Billing team members are responsible for all aspects of billing and follow up for exception workflows within AR. This includes, but is not limited to: Transplant, Company Accounts, Bundled Arrangements, Workers Compensation, and Executive Health.

MINIMUM QUALIFICATIONS:

• High School Diploma or equivalent and four (4) years healthcare related experience OR any combination of equivalent education and experience.
• Knowledge of Medicare, Medicaid, and other contract payers (HMO, PPO) preferred. CPAR (Certified Patient Account Representative) preferred.
• Typing skills with a minimum of 35 wpm and good communication skills.

Supporting a diverse, equitable and inclusive culture.  Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members.  Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. 

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”  

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.