Patient Account Representative III

1 week ago


Atlanta Georgia, United States Emory Healthcare Full time
Job Summary

We are seeking a highly skilled Patient Account Representative III to join our team at Emory Healthcare. This role requires a comprehensive understanding of accounts receivable management in a healthcare setting.

Key Responsibilities
  • Manage and maintain email and phone message inventory, complete reports, and resolve high-priority and aged inventory.
  • Review all accounts assigned for collection prior to, during, or after admission and discharge. Perform progressive collection steps to discuss and clear balances on multiple accounts.
  • Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites, and filing appeals.
  • Independently assess Claim Edit, Transaction Editing System, Clearinghouse, or other applicable billing edit messages to resolve any issues preventing release of physician or hospital claims from Emory's systems.
  • Responsible for all facets of refunds and credit balance resolution, including direct phone calls to patients, insurance companies, and other departments as necessary to resolve credit balances.
Requirements
  • High School Diploma or equivalent and three (3) years of healthcare-related experience or any combination of equivalent education and experience.
  • Knowledge of Medicare, Medicaid, and other contract payers (HMO, PPO) preferred.
  • CPAR (Certified Patient Account Representative) preferred.
  • Typing skills with a minimum of 35 wpm and good communication skills.
Work Environment

Emory Healthcare is a comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Equal Employment Opportunity

Emory Healthcare 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. We respect, value, and celebrate the unique perspectives and backgrounds of all individuals and strive to create an environment of collaboration and true belonging for all our patients and team members.



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