Patient Account Representative
Overview:
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
Description:
REQUIREMENTS:
- Identifies and notifies leadership of issues and initiates appropriate action for resolution.
- Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
- Provides support to leadership facilitating quality improvement by reporting problems, concerns, and opportunities for increased revenue and decreased denials.
- Assists in training and development of new staff members through the quality assurance process.
- Researches status of Medicare, Medicaid, and Blue Cross accounts through use of MEDA and BCH, accepted batch listing reports, EOB, and other information.
- Bills third party payors, when appropriate, by hard copy or electronic submission. Performs special billing tasks such as combined and split bills as needed.
- Ensures payment is received when expected; immediately pursues billing secondary insurance or billing the patient; applies appropriate allowance and adjustments.
MINIMUM QUALIFICATIONS:
- High school diploma or equivalent.
- Must have atleast four (4) years healthcare related experience. Knowledge of Medicare, Medicaid, and other contract payers (HMO, PPO) preferred.
- CPAR (Certified Patient Account Representative) and/or CPFC (Certified Patient Financial Counselor) preferred for positions in hospital setting.
- Typing skills with a minimum of 35 wpm and good communication skills.
Additional Details:
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.