REQUIREMENT:

• Versatile in all aspects of the Revenue Cycle through Resolution of all patient claims.
• Communicates EHC's financial policies to all patients.
• 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.
• Maintains thorough understanding of insurance, payment reimbursement, account reconciliation, referrals, authorizations, and account follow-up to secure reimbursement of claims.
• This position requires heavy phone and computer usage, and a detailed knowledge of applicable EMRs, patient accounts, payer, and financial tools.
• Additionally, education sessions and insurance payor forums should be attended as appropriate.
• Specialist is required to review, analyze and understand the Managed Care Contracts and various aspects of patient care to maximize reimbursement.
• Knowledge of payer requirements including pre-cert requirements, splitting of claims, analyzing payments, researching complex payment variances are critical for patient and/or account resolutions.

MINIMUM QUALIFICATIONS:

• Bachelors Degree with two years of relevant experience; OR any combination of equivalent education and experience.

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.