Be inspired. Be valued. Belong.  

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, leadership programs...and more! 

REQUIREMENT:

• Responsible for Emory Hospitals, including Emory University Hospital, Emory University Hospital Midtown, Emory Saint Joseph Hospital, Emory Johns Creek Hospital, Wesley Woods Hospital, Emory University Orthopedics and Spine Hospital, Emory Smyrna Hospital, A Rehab Center and Infusion Centers in the four main hospitals.
• This position of Revenue Cycle Specialist III serves as a Team Lead, Trainer and Mentor to other team members.
• Management relies heavily on this position for their reporting of issues that should be escalated and/or resolved through Managed Care Contract negotiations, Finance, CFO's and other hospital administration.
• This position must be versatile in all aspects of the Revenue Cycle through Final Claims Resolution.
• 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. 
• Reimbursement for donors and recipients have specific and unique regulatory and payer requirements for each phase from evaluation to post transplant based on the payer and /or type of donation.
• In addition to the Hospital legacy system, the specialist will be using Microsoft Office Products, EPSI, Banking tools and various other online tools that vary for the insurance companies and stakeholders.

MINIMUM QUALIFICATONS:

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

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.