A/R Reimbursement Specialist - Patient Financial Services - FT - Days

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!

SUMMARY
The role of the Accounts Receivable Reimbursement Specialist includes third party billing and follow-up procedures, with core responsibilities in payer-specific A/R analysis, advanced billing special projects, and denials research and resolution.

Location : Atlanta, GA

Job Type : Full Time

Shift/ Schedule : Days

QUALIFICATIONS

• High School diploma or GED required
• Two - three (2 - 3) years experience with the following:
  
  
  
  • Hands-on knowledge of UB-04 and HCFA 1500 claim forms billing and follow up functions both electronic and manual
  • Advanced knowledge of CPT, ICD-9 coding, HCPCS, revenue codes and terminology for hospital billing
  • Working knowledge of Medicare regulations, medical necessity restrictions, and Medicare Secondary Payer guidelines
  • Experience with Georgia Medicaid primary and secondary billing; including electronic, direct data entry, and hardcopy submission
  • Demonstrated service and success in teamwork and consistent high productivity and quality
  
  
  
  
• Business knowledge and results oriented experience within Patient Financial Services
• Working knowledge of entire healthcare revenue cycle, and keen understanding of processes that drive successful billing and collections
• Experience within a large academic Level I Trauma facility is desirable.
• Siemens INVISION, EPIC, ePREMIS experience preferred
• Demonstrated knowledge and experience with the Microsoft Suite skill set to include Excel and Word
• Highly motivated, organized and detail oriented with excellent teaming skills
• Excellent communication, time management, and reporting skills
• Demonstrated ability to be flexible, work collaboratively among internal and external departments, as applicable to identify and help resolve small and large-scale issues
• Demonstrated ability to effectively investigate, analyze and problem solve
• Demonstrated ability to accurately type 30 wpm
• Successfully complete competency exam with 90% proficiency

Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.