Work Schedule/Days: Evening / Monday; Thursday; Tuesday; Wednesday
Employment Type: Full-Time
Location: Hughes Spalding
Requisition #: 82603
Serves as expert/lead team member in 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. Collaborates with Appeals department to overturn claims denial. Provides other registration, clerical, and billing support as required, including scheduling, chart creation, and charge entry. Ensures quality monitoring to produce clean claim processing. Assists in hiring and orientation of new employees, and may assist in annual evaluation process.
- High school diploma or equivalent
- No professional certifications required
- Two years of experience in registration
- Bachelor’s degree
- Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA)
KNOWLEDGE SKILLS & ABILITIES*
- Understand and be familiar with medical terminology
- Must pass typing test with at least 50 words per minute
- Basic Windows XP and Microsoft Word
- Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating
- Knowledge and utilization of patient registration systems, insurance verification systems, and/or Medicaid portals, e.g., RIS, SIS, SMS, Epic, IMS Web, HDX, Payor websites, CSC Order Indexing, POS Database, GPMS, IBEX, NueMD, and Passport
- 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 within Metro Atlanta as needed to support multiple locations or different departments
- Performs daily quality audits on team of registration coordinators to ensure all duties are performed correctly.
- Orients new employees and acts as resource for staff to resolve/handle difficult situations or answer questions.
- Partners with other areas for positive patient flow, and responds to issues that may arise related to safety, security, and disaster management.
- May conduct performance evaluation of staff, provide input into hiring and disciplinary actions, and may act as supervisor as required or upon absence of supervisor.
- 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, and patient tracking 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.
- 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.
- 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.
- May initiate and execute 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.
- Participates in meetings and may represent department on committees which could include multi-disciplinary quality and service improvement teams.
- May prepare case review materials for court preparation for forensic interviewers and providers.
- Coordinates subpoena process between court system, Child Protection Center, and Children’s Healthcare of Atlanta Legal department.
- Facilitates billing process for expert testimony in court cases.
- Assists 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.
- Provides supervisor and/or manager feedback on staff performance, educational needs, and workflow status.
Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.
Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.
Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance
Bending/Stooping – Occasionally (activity or condition exists up to 1/3 of time)
Climbing – Not Present
Hearing/Speaking – Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.
Lifting – Occasionally (activity or condition exists up to 1/3 of time)
Pushing/Pulling – Occasionally (activity or condition exists up to 1/3 of time)
Sitting – Frequently (activity or condition exists from 1/3 to 2/3 of time)
Standing – Occasionally (activity or condition exists up to 1/3 of time)
Walking – Occasionally (activity or condition exists up to 1/3 of time)
Some potential for exposure to blood and body fluids
Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.
With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.
Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials. We offer a comprehensive compensation and benefit package that supports our mission, vision and values. We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country. Connect to our mission of making kids better today and healthier tomorrow.
Have questions about the recruitment process? Check out What to Expect.
Address: 35 Jesse Hill Jr. Drive, SE, Atlanta, GA 30303
Function: Revenue Cycle – Patient Access