Be inspired, be valued, and belong at Emory Healthcare. This role supports the full revenue cycle by resolving patient claims, updating demographic and insurance information, following up on accounts before, during, and after admission and discharge, and communicating financial policies to patients.
The specialist serves as a patient advocate, helps identify patients who need financial counseling, verifies and completes billing paperwork for reimbursement, and assists with departmental workflow. The position also supports leadership through issue escalation, quality improvement efforts, staff training, and contract review related to billing and reimbursement.
The role requires strong knowledge of insurance, payment reimbursement, account reconciliation, referrals, authorizations, managed care contracts, payer requirements, and complex claim/payment variance resolution. It involves heavy phone and computer use, independent work, strong problem-solving, and collaboration with management to improve workflow and maximize reimbursement.
Bachelor's degree with two years of relevant experience, or an equivalent combination of education and experience.
The ideal candidate should have:
- Strong verbal and written communication skills
- Excellent analytical, interpersonal, and organizational skills
- Ability to work independently
- Knowledge of EMRs, patient accounts, payer tools, and financial systems
- Experience with managed care contracts, pre-certification requirements, claims splitting, and payment variance research
- Ability to handle complex billing and reimbursement scenarios, including transplant, hospice, infusion, rehab, and center of excellence patients
Comprehensive health benefits starting day 1 Student loan repayment assistance and reimbursement programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs Supportive work environment
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago