Patient Accounts Resolution Specialist

choa; Atlanta (GA); On-site; USD 38,000 - 58,000; Full time

Job summary

Children's Healthcare of Atlanta is seeking a billing/collections professional to support daily claims processing and follow-up with third-party payors. The role emphasizes timely submissions, resolving denials, and maintaining accurate documentation across payer communications.

The ideal candidate will have hospital billing experience, familiarity with Epic Resolute, Dentrix, Clearinghouse, and strong customer service, typing, and phone skills to meet department goals.

Qualifications

• Must have excellent telephone communication and customer service skills
• Familiar with medical terminology including diagnosis and procedure codes
• High school diploma or equivalent required; some college preferred
• Knowledge of third-party payors (Medicaid, BCBS, managed care, etc.) and billing software

Responsibilities

• Performs daily billing of claims to third-party insurance following UB04/HCFA 1500 guidelines
• Performs routine follow-up on unpaid insurance claims to resolve delays
• Prepares and submits final bills, secondary claims, rebills, and late charges daily
• Documents communications with payors and guarantors
• Works accounts in the queue to ensure timely submissions
• Contacts guarantors for additional information to resolve delays in reimbursement
• Works related to Medicaid eligibility and self-pay balances
• Ensures adherence to department workflows and policies

Skills

Telephone skills

Customer service

Medical terminology

Typing speed 45 wpm

Billing software basics

Education

High school diploma

Some college

Tools

Epic Resolute

Dentrix Dental

Clearinghouse

Job description

Children's Healthcare of Atlanta is seeking a billing/collections professional to support daily claims processing and follow-up with third-party payors. The role emphasizes timely submissions, resolving denials, and maintaining accurate documentation across payer communications.

The ideal candidate will have hospital billing experience, familiarity with Epic Resolute, Dentrix, Clearinghouse, and strong customer service, typing, and phone skills to meet department goals.