Accounts Resolution Specialist - Healthcare Billing

Children's Healthcare of Atlanta; Brookhaven (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Children’s Healthcare of Atlanta seeks an experienced billing/collections professional to support the hospital’s patient accounts team in Brookhaven, GA. You will meet performance expectations for department collection and follow-up, resolving issues with payors and denials, and working with supervisors to ensure swift resolution.

Responsibilities include daily billing of claims, payor follow-up, and adherence to policies.

Qualifications

• Knowledge of third-party requirements and policies, including Medicaid and payor types.
• Excellent telephone communication and customer service skills.
• Excellent written and verbal communications skills.
• Familiar with medical terminology, including diagnosis and procedure codes.

Responsibilities

• Performs daily billing of claims to third-party insurance following UB04/HCFA 1500 guidelines.
• Ensures special billing needs by payor are met to prevent denial or delays.
• Prepares and submits final bill claims, secondary claims, rebills, and late charges daily.
• Performs routine follow-up on unpaid insurance claims to resolve reimbursement delays.
• Documents communications with third-party payors and guarantors in the system.
• Prioritizes accounts to ensure timely submission of all claims.
• Complies with department workflows and routines.
• Contacts guarantors for additional information and resolves delays in reimbursement.
• Works Medicaid eligibility entries for self-pay and commercial accounts.
• Handles returned mail on high-dollar accounts and payor correspondences.

Skills

Medicaid knowledge

Phone skills

Written and verbal communication

Medical terminology

Meet goals

Typing 45 wpm

PC-based systems

Education

High school diploma or equivalent

Some college

Job description

Children’s Healthcare of Atlanta seeks an experienced billing/collections professional to support the hospital’s patient accounts team in Brookhaven, GA. You will meet performance expectations for department collection and follow-up, resolving issues with payors and denials, and working with supervisors to ensure swift resolution.

Responsibilities include daily billing of claims, payor follow-up, and adherence to policies.