Account Resolution Coordinator

Children's Healthcare of Atlanta•Atlanta, GA

10d

About The Position

The Account Resolution Coordinator performs insurance billing, claims follow-up, and account resolution activities to support timely reimbursement. The role meets departmental collection and follow-up performance expectations, completes assigned work promptly, and reports issues to the lead collector or patient accounts supervisor. It identifies payer trends involving zero payments, payment variances, billing, and denials, and works with other collectors and lead collectors on claims billing and collections. The coordinator also completes projects requested by the patient accounts manager or supervisor and follows attendance, work, and department policies. The position is based at 1575 Northeast Expy NE and follows a day shift schedule from 8:00 AM to 4:30 PM, Monday through Friday.

Requirements

High school diploma or equivalent.
At least one year of experience in insurance billing or collections.
General knowledge of hospital business office functions.
Knowledge of third-party requirements and policies, including Medicaid, managed care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay.
Excellent telephone communication and customer service skills.
Excellent written and verbal communication skills.
Familiarity with medical terminology, including diagnosis and procedure codes.
Ability to meet department and individual goals.
Ability to type 45 words per minute.
Ability to operate personal computer-based systems, with working knowledge of word processing, spreadsheet, and billing software.

Nice To Haves

Some college.
Two years of experience in insurance billing and/or collections, with general knowledge of hospital business office functions.
Knowledge of Children's Healthcare of Atlanta patient accounting applications, such as Epic Resolute, Dentrix Dental, or a clearinghouse, or a comparable system.

Responsibilities

Bill claims daily to third-party insurance in accordance with UB04 and HCFA 1500 manual guidelines.
Meet payor-specific billing needs to help prevent claim denials and payment delays.
Prepare and submit final bill claims, secondary claims, rebills, and late charges daily, maintaining current status.
Follow up routinely on unpaid insurance claims and take appropriate action to resolve reimbursement delays.
Document telephone and written communications with third-party payors and guarantors using online activity codes.
Prioritize and proactively work assigned accounts to ensure timely submission.
Follow department workflows and routines.
Contact guarantors and other insured parties when additional information is needed and take action to resolve reimbursement delays.
Process correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts.
Work returned mail on high-dollar accounts and correspondence from third-party payors.
Take appropriate action to resolve unpaid insurance, bad debt, and self-pay balances.
Identify payor trends related to zero payments, payment variances, billing, and denials.
Report issues or obstacles to the lead collector or patient accounts supervisor.
Complete projects as requested by the patient accounts manager or patient accounts supervisor.