Children's Healthcare of Atlanta
Account Resolution Coordinator - Professional Billing
Children's Healthcare of Atlanta, Brookhaven, Georgia, United States
Account Resolution Coordinator - Professional Billing
Join to apply for the
Account Resolution Coordinator - Professional Billing
role at
Children's Healthcare of Atlanta Account Resolution Coordinator - Professional Billing
2 days ago Be among the first 25 applicants Join to apply for the
Account Resolution Coordinator - Professional Billing
role at
Children's Healthcare of Atlanta Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).
Work Shift
Day
Work Day(s)
Shift Start Time
Shift End Time
Worker Sub-Type
Regular
Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.
Job Description
Meets all department collection and follow-up performance expectations. Completes assigned work in a timely fashion and reports any issues or obstacles to lead collector or patient accounts supervisor to ensure swift resolution. Identifies payor trends proactively in relation to zero payment, payment variance, billing, and denials. Works closely with other collectors and lead collectors in completing claims billing and follow-up collection activities. Completes projects as requested by patient accounts manager or patient accounts supervisor. Adheres to company and department attendance, basic work requirements, and other policies and procedures.
Experience
1 year of experience in insurance billing or collections, with a general knowledge of hospital business office functions
Preferred Qualifications
Experience with Insurance Denials and Follow up's Accounts Receivable experience preferred Some college 2 years of experience in insurance billing and/or collections, with a general knowledge of hospital business office functions Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., Epic Resolute, Dentrix Dental, Clearinghouse, or comparable system
Education
High school diploma or equivalent
Certification Summary
No professional certifications required
Knowledge, Skills, And Abilities
Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay Must have excellent telephone communication and customer service skills Excellent written and verbal communications skills Familiar with medical terminology, including diagnosis and procedure codes Must be able to meet department/individual goals Must be able to type 45 words per minute Must be able to operate personal computer-based systems, including working knowledge of word processing, spreadsheet, and billing software
Job Responsibilities
Performs daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual. Ensures that special billing needs by payor are performed to prevent denial of claims and delay in payment. Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status. Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement. Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes. Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner. Complies with department workflows and routines. Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement. Works correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts. Works returned mail on high-dollar accounts and correspondences from third-party payors. Takes appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances.
Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address
1575 Northeast Expy NE
Job Family
Patient Financial Services Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function General Business and Administrative Industries Hospitals and Health Care Referrals increase your chances of interviewing at Children's Healthcare of Atlanta by 2x Get notified about new Account Coordinator jobs in
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Join to apply for the
Account Resolution Coordinator - Professional Billing
role at
Children's Healthcare of Atlanta Account Resolution Coordinator - Professional Billing
2 days ago Be among the first 25 applicants Join to apply for the
Account Resolution Coordinator - Professional Billing
role at
Children's Healthcare of Atlanta Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).
Work Shift
Day
Work Day(s)
Shift Start Time
Shift End Time
Worker Sub-Type
Regular
Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.
Job Description
Meets all department collection and follow-up performance expectations. Completes assigned work in a timely fashion and reports any issues or obstacles to lead collector or patient accounts supervisor to ensure swift resolution. Identifies payor trends proactively in relation to zero payment, payment variance, billing, and denials. Works closely with other collectors and lead collectors in completing claims billing and follow-up collection activities. Completes projects as requested by patient accounts manager or patient accounts supervisor. Adheres to company and department attendance, basic work requirements, and other policies and procedures.
Experience
1 year of experience in insurance billing or collections, with a general knowledge of hospital business office functions
Preferred Qualifications
Experience with Insurance Denials and Follow up's Accounts Receivable experience preferred Some college 2 years of experience in insurance billing and/or collections, with a general knowledge of hospital business office functions Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., Epic Resolute, Dentrix Dental, Clearinghouse, or comparable system
Education
High school diploma or equivalent
Certification Summary
No professional certifications required
Knowledge, Skills, And Abilities
Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay Must have excellent telephone communication and customer service skills Excellent written and verbal communications skills Familiar with medical terminology, including diagnosis and procedure codes Must be able to meet department/individual goals Must be able to type 45 words per minute Must be able to operate personal computer-based systems, including working knowledge of word processing, spreadsheet, and billing software
Job Responsibilities
Performs daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual. Ensures that special billing needs by payor are performed to prevent denial of claims and delay in payment. Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status. Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement. Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes. Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner. Complies with department workflows and routines. Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement. Works correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts. Works returned mail on high-dollar accounts and correspondences from third-party payors. Takes appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances.
Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address
1575 Northeast Expy NE
Job Family
Patient Financial Services Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function General Business and Administrative Industries Hospitals and Health Care Referrals increase your chances of interviewing at Children's Healthcare of Atlanta by 2x Get notified about new Account Coordinator jobs in
Brookhaven, GA . Atlanta, GA $70,000.00-$80,000.00 1 month ago Atlanta, GA $72,000.00-$101,000.00 11 hours ago Atlanta, GA $50,000.00-$50,000.00 2 weeks ago Atlanta, GA $67,000.00-$93,500.00 2 weeks ago Atlanta Metropolitan Area $40,000.00-$115,000.00 2 days ago Atlanta, GA $124,000.00-$186,000.00 2 days ago Atlanta, GA $55,000.00-$65,000.00 1 week ago Atlanta, GA $103,000.00-$148,000.00 1 week ago Suwanee, GA $48,000.00-$90,000.00 2 years ago Email & SMS Account Manager- eCommerce Focus
Atlanta, GA $56,000.00-$61,000.00 1 week ago Lawrenceville, GA $58,000.00-$60,000.00 3 days ago Atlanta, GA $55,000.00-$70,000.00 5 days ago Atlanta, GA $55,000.00-$70,000.00 4 days ago Senior National Account Manager, Ring & Blink
Manager, Sales and Account Management - Convenience Retail
Atlanta, GA $103,000.00-$121,000.00 3 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr