Children's Healthcare of Atlanta - North Atlanta, GA

posted 28 days ago

North Atlanta, GA
Hospitals

About the position

Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. The position involves communicating with patients, families, physicians, quality review, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts. It also includes collaborating with the Appeals department to overturn claims denials and providing other registration, clerical, and billing support as required.

Responsibilities

  • Interviews patients and families to obtain complete and accurate demographic and financial information.
  • Ensures all necessary questionnaires and forms are completed according to pre-determined requirements by government or regulatory agencies.
  • Enters data into system for registration, billing, patient tracking, charge capture, and reconciliation in a fast, efficient way to minimize patient wait times.
  • Confirms insurance coverage and obtains authorizations if applicable.
  • Explains regulatory financial requirements to patient or responsible party and collects/posts deposits or deductible amounts as required.
  • Assists Appeals department to provide all related information to overturn claims denial.
  • Serves as liaison between patient and department staff by informing patients and families of procedures and delays, answering questions, offering assistance, relaying messages, and other services that patients and families may require.
  • Ensures wait time communication occurs by updating schedulers and patient information tools as appropriate.
  • Initiates and executes daily medical record maintenance while maintaining patient confidentiality.
  • Provides release of medical information as required.
  • Schedules patient appointments when needed, including referral from faxes, phones, or other instructions.
  • Coordinates all aspects of scheduling, including procedures, provider visits, and use of resources.
  • May initiate and perform administrative duties to ensure efficient daily business operations.
  • Participates in meetings and may serve on committees representing department.
  • Prescreens doctor's orders (scripts) received for new patient to ensure completeness/appropriateness of scheduled appointment.
  • May prepare case review materials for court preparation for forensic interviewers and providers.
  • Coordinates subpoena process between court system, Child Protection Center, and Legal department.

Requirements

  • High school diploma or equivalent.
  • Understanding of and familiarity with medical terminology.
  • Must be able to type 45 words per minute.
  • Basic knowledge of Microsoft Windows and Word.
  • Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating.
  • Strong verbal/written communication skills.
  • Demonstrated arithmetic and word mathematical problem-solving skills.
  • Proven ability to multitask and must be willing to work a flexible schedule.
  • Ability to travel as needed to support multiple locations or different departments.
  • Uphold highest level of customer service while covering any location.

Nice-to-haves

  • College degree.
  • 1 year of experience in registration.
  • Certified Patient Account Representative (CPAR).
  • Knowledge and utilization of patient registration systems, insurance verification systems, and/or Medicaid portals.
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