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Emory Healthcare · 14 hours ago

Revenue Cycle Specialist

Atlanta, GA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Emory Healthcare is a leading healthcare provider that values its employees and offers a supportive work environment. They are seeking a Revenue Cycle Specialist who will manage patient claims, assist with financial counseling, and ensure proper billing and reimbursement processes are followed.

Health CareMedical

Responsibilities

Versatile in all aspects of the Revenue Cycle through Resolution of all patient claims

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

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

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

Qualification

Revenue Cycle ManagementInsurance KnowledgeClaims ProcessingFinancial CounselingEMR ProficiencyAccount ReconciliationCommunication SkillsProblem Solving

Required

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

Versatile in all aspects of the Revenue Cycle through Resolution of all patient claims

Verifies, researches and completes all paperwork and forms to bill all types of claims for reimbursement

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

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