Healthcare Billing & Account Resolution Specialist

Children's Healthcare of Atlanta Inc.; Atlanta (GA); Vor Ort; USD 42.000 - 52.000; Vollzeit

Zusammenfassung

Children's Healthcare of Atlanta Inc. is seeking an experienced insurance billing/collections specialist to meet department targets and resolve denial issues.

You will work closely with the patient accounts team to bill, follow up, and collect from third-party payors, while maintaining accurate documentation and policy compliance. The role requires knowledge of UB04/HCFA 1500, excellent phone and written communication, and the ability to meet performance goals.

Qualifikationen

• Knowledge of third-party requirements and policies including Medicaid, Managed Care, BCBS, and other payors.
• Must have excellent telephone communication and customer service skills.
• Excellent written and verbal communications skills.
• Familiar with medical terminology, including diagnosis and procedure codes.
• Must meet department/individual goals.
• Must type 45 words per minute (WPM).
• Must operate personal computer-based systems including word processing, spreadsheets and billing software.

Aufgaben

• Performs daily billing of claims to third-party insurance following UB04 and HCFA 1500 guidelines.
• Ensures special billing needs by payor are performed to prevent denials and delays.
• Prepares and submits all final bill claims, secondary claims, rebills, and late charges daily.
• Performs routine follow-up on unpaid insurance claims and resolves problems causing delays in reimbursement.
• Documents all communications with third-party payors and guarantors via online activity codes.
• Prioritizes accounts in the assigned queue to ensure timely submissions.
• Complies with department workflows and routines.
• Contacts guarantors for needed information to resolve delays in reimbursement.
• Works correspondences daily to add Medicaid eligibility to self-pay and commercial accounts.
• Handles returned mail on high-dollar accounts and third-party payor communications.
• Take action to resolve all insurance, bad debt, and self-pay unpaid balances.

Kenntnisse

Medical terminology

Telephone skills

Written communication

Typing 45 WPM

Billing software

UB04 HCFA

Payor knowledge

Ausbildung

High school diploma or equivalent

Tools

Epic Resolute

Dentrix Dental

Clearinghouse

Jobbeschreibung

Children's Healthcare of Atlanta Inc. is seeking an experienced insurance billing/collections specialist to meet department targets and resolve denial issues.

You will work closely with the patient accounts team to bill, follow up, and collect from third-party payors, while maintaining accurate documentation and policy compliance. The role requires knowledge of UB04/HCFA 1500, excellent phone and written communication, and the ability to meet performance goals.