Requisition #: 30385
Name of Location: Children's at Forsyth
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.
High school diploma or equivalent
No professional certifications required
No minimum experience required
6 months of experience in registration
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
KNOWLEDGE SKILLS & 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
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.
May observe and interact with patients upon check-in and notify clinical staff for immediate intervention if indicated.
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.
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 40 lbs independently and greater than 40 lbs with 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
Location Address: 410 Peachtree Parkway, Cumming, GA 30041
Function: Revenue Cycle - Patient Access
Children’s Healthcare of Atlanta is one of the largest pediatric clinical care providers in the country. We have a total of 638 licensed beds among our three hospitals and 28 neighborhood locations. We are home to the only Level 1 and 2 pediatric trauma centers in Georgia, and we treat about 60 percent of pediatric trauma patients in the state.
We are ranked as a top pediatric heart care and heart surgery program by US News & World Report.
Our 27-bed unit is one of the largest dedicated pediatric Cardiac Intensive Care Units (CICUs) in the Southeast.
We performed 634 cardiac surgeries in 2017. We are ranked No. 3 nationally in pediatric cardiac surgical and medical volumes.
Our Cardiac Stepdown Unit was recognized with a gold-level Beacon Award of Excellence. Our CICU was recognized with a silver-level Beacon Award of Excellence for nursing outcomes.
Our staff includes more than 50 pediatric cardiologists and three pediatric cardiothoracic surgeons.