JOB DESCRIPTION

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Work Shift

Variable

Work Day(s)

Variable

Shift Start Time

Variable

Shift End Time

Variable

Worker Sub-Type

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.

Job Description

Communicates with patients, families, physicians, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts.

Collaborates with Appeals department to overturn claims denial. Provides other registration, clerical, and billing support as required, including scheduling, chart creation, charge entry, scanning, and point-of-service collections.

Experience

One year of experience in registration preferred or an assigned clinical discipline or completion of an externship program approved by Children’s

Preferred Qualifications

• College degree
• Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA)
• Knowledge and utilization of patient registration systems, insurance verification systems, and / or Medicaid portals

Education

High school diploma or equivalent

Certification Summary

No professional certifications required

Knowledge, Skills, and Abilities

• Knowledge of medical terminology
• Must be able to type 45 words per minute
• Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating
• Excellent verbal / written communication skills
• Excellent customer service skills
• Proven ability to multitask and must be willing to work a flexible schedule, including nights, weekends, and major and minor holidays
• Ability to travel around Metro Atlanta as needed to support multiple locations or different departments

Job Responsibilities

• Interviews patients and families to obtain complete and accurate demographic and financial information and 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 (for outside clinics, could include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments if necessary).
• Assists Appeals department to provide all related information to overturn claims denial if applicable.
• 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.
• Initiates and executes daily medical record maintenance while maintaining patient confidentiality, including creation of patient charts, filing encounter-specific paperwork, and maintaining correspondence via mailing / faxing with patient’s primary care provider and / or specialists as necessary.
• Provides release of medical information as required.
• May initiate and perform administrative duties to ensure efficient daily business operations, including participating in the office / department opening and closing procedures, assisting with maintaining, ordering, and restocking front office supplies, and receiving and distributing mail.
• Schedules patient appointments when needed, including referral from faxes, phones, or other instructions and contacts physician offices to resolve discrepancies.
• Coordinates all aspects of scheduling including procedures, provider visits, and use of resources.
• Attends and participates in department meetings according to department standards and may serve on committees representing the department which could include multi-disciplinary quality and service improvement teams.
• Assist Supervisor and / or Manager with development of staff by being available to teammates, acting as a resource to help complete complicated / complex tasks, providing on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development.
• Provide Supervisor and / or Manager feedback on staff performance, educational needs, and workflow status.

Primary Location Address

410 Peachtree Pkwy

Job Family

Patient Access

Last updated : 2024-05-30