Accounts Resolution Specialist – Insurance & Claims

Children's Healthcare of Atlanta; Brookhaven (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Children’s Healthcare of Atlanta in Brookhaven, GA seeks an experienced insurance billing/collections specialist to perform daily billing of claims, follow-up on unpaid balances, and ensure timely reimbursement. You will coordinate with payors, document communications, and support department goals in a fast-paced hospital environment.

The role requires knowledge of third-party payors, strong telephone and written communication, and accuracy in billing software such as Epic Resolute, with a focus

Qualifications

• 1 year of experience in insurance billing or collections.
• Knowledge of hospital business office functions.
• Familiar with Medicaid, Managed Care, Blue Cross Blue Shield and payer requirements.

Responsibilities

• Performs daily billing of claims to third-party insurance following UB04/HCFA 1500 guidelines.
• Ensures special billing needs by payor are performed to prevent denial of claims.
• 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 all communications with payors and guarantors.
• Prioritizes accounts in the work queue to ensure timely submission.
• Complies with department workflows and routines.
• Contacts guarantors for additional information to resolve delays in reimbursement.
• Works with Medicaid eligibility on self-pay and commercial accounts.
• Manages returned mail and high-dollar accounts with payors.

Skills

Telephone communication

Customer service

Written communication

Medical terminology

Typing 45 wpm

Education

High school diploma or equivalent

Some college

Tools

Epic Resolute

Dentrix Dental

Clearinghouse

Job description

Children’s Healthcare of Atlanta in Brookhaven, GA seeks an experienced insurance billing/collections specialist to perform daily billing of claims, follow-up on unpaid balances, and ensure timely reimbursement. You will coordinate with payors, document communications, and support department goals in a fast-paced hospital environment.

The role requires knowledge of third-party payors, strong telephone and written communication, and accuracy in billing software such as Epic Resolute, with a focus