Patient Access Representative jobs at Emory Healthcare - 103 jobs

Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Acute teams and/or Ambulatory teams. In this role, you'll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. Schedule: Full time, Monday-Friday, 8hr shifts, typically 8am-5pm (depending on team) Location: REMOTE, Banner provides equipment Ideal candidate: 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume); Experience with submitting appeals and understanding of EOB; General knowledge of codes used for claim processing. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. Anticipated Closing Window (actual close date may be sooner): 2026-05-07 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Department Name: Rev Cycle Ambulatory Imaging Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Banner Imaging teams. In this role, you'll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. In this role you will expand your knowledge in appeals, follow up on denials, sending medical records, eligibility, follow up no response on accounts, verifying Authorization, and negotiating with insurance and payers. Schedule: Full time, Monday-Friday. Training is 8am-5pm AZ time. Flexible scheduling after training is complete. Location: REMOTE, Banner provides equipment Ideal candidate: 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume); Experience with submitting appeals and understanding of EOB; General knowledge of codes used for claim processing. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY. Please note, training will be 8am-5pm AZ time, and after training scheduling will be between 6am-6pm AZ time. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Directs and coordinates the registration functions and personnel. The duties of this position require the exercise of courtesy and patience in speaking with patients, families, and others to maintain sound public relations. Qualifications REQUIRED: 1. Zero (0) to two (2) years experience in admitting or related field. 2. Demonstrated knowledge of admitting functions and responsibilities. 3. Ability to work independently, and train and direct others. PREFERRED: 1. Associate's degree in Business Administration. 2. Prior healthcare experience and knowledge of medical terminology. 3. CHAA and/or CPAR certified. Work Hours: 6:30PM-7:00AM Weekend Requirements: Yes- Rotating Basis On-Call Requirements: No

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Arranges for efficient and accurate collection of information for orderly registration of pediatric, adult, and geriatric patients. Collects and distributes patient information, billing information, and collection information. Makes patients and families aware of hospital policies and procedures. The duties of this position require the exercise of courtesy in speaking with patients, families, and others to maintain sound community relations. Qualifications Six months clerical or customer service experience - preferably in a hospital or medical office. Excellent communication and strong customer service skills. Working knowledge and ability to perform accurately and efficiently on computer. Typing skills of 30 wpm. Work Hours: 6:30AM-7:00PM Weekend Requirements: Yes- Rotating Basis On-Call Requirements: No

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Arranges for efficient and accurate collection of information for orderly registration of pediatric, adult, and geriatric patients. Collects and distributes patient information, billing information, and collection information. Makes patients and families aware of hospital policies and procedures. The duties of this position require the exercise of courtesy in speaking with patients, families, and others to maintain sound community relations. * Six months clerical or customer service experience - preferably in a hospital or medical office. * Excellent communication and strong customer service skills. * Working knowledge and ability to perform accurately and efficiently on computer. * Typing skills of 30 wpm.

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Directs and coordinates the registration functions and personnel. The duties of this position require the exercise of courtesy and patience in speaking with patients, families, and others to maintain sound public relations. REQUIRED: 1. Zero (0) to two (2) years experience in admitting or related field. 2. Demonstrated knowledge of admitting functions and responsibilities. 3. Ability to work independently, and train and direct others. PREFERRED: 1. Associate's degree in Business Administration. 2. Prior healthcare experience and knowledge of medical terminology. 3. CHAA and/or CPAR certified.

Responsible for communications between the nursing units and the Food Service Department in regard to patient menus, diet changes, and general patient services. Reads the patient menus to patients twice daily. Edits patient selections to meet restrictions associated with diet orders. Organizes and manages diet orders in a timely and effective manner. Develops menu tallies of special requests. Must be familiar with dietary restrictions on special, modified diets to ensure optimal patient care and satisfaction. Reacts accurately and effectively to all changes to ensure efficiency. Assembles trays for patients and deliver meal trays to patient rooms and nursing units. Occasionally, may also prepare salads, desserts, beverages and other miscellaneous food items. Responsibilities Responsible for communications between the nursing units and the Food Service Department in regard to patient menus, diet changes, and general patient services. Reads patient menus to patients twice daily. Edits patient selections to meet restrictions associated with diet orders. Organizes and manages diet orders in a timely and effective manner. Develops menu tallies of special requests. Must be familiar with dietary restrictions on special, modified diets to ensure optimal patient care and satisfaction. Reacts accurately and effectively to all changes to ensure efficiency. Assembles trays for patients and deliver meal trays to patient rooms and nursing units. Occasionally, may also prepare salads, desserts, beverages and other miscellaneous food items. Qualifications REQUIRED Six (6) months of customer service or food service experience PREFERRED Six (6) months to one (1) year healthcare food service experience or two (2) years food service experience. Work Hours: 6am-7pm Weekend Requirements: Yes- Rotating Basis On-Call Requirements: No

Responsible for communications between the nursing units and the Food Service Department in regard to patient menus, diet changes, and general patient services. Reads the patient menus to patients twice daily. Edits patient selections to meet restrictions associated with diet orders. Organizes and manages diet orders in a timely and effective manner. Develops menu tallies of special requests. Must be familiar with dietary restrictions on special, modified diets to ensure optimal patient care and satisfaction. Reacts accurately and effectively to all changes to ensure efficiency. Assembles trays for patients and deliver meal trays to patient rooms and nursing units. Occasionally, may also prepare salads, desserts, beverages and other miscellaneous food items. Responsible for communications between the nursing units and the Food Service Department in regard to patient menus, diet changes, and general patient services. Reads patient menus to patients twice daily. Edits patient selections to meet restrictions associated with diet orders. Organizes and manages diet orders in a timely and effective manner. Develops menu tallies of special requests. Must be familiar with dietary restrictions on special, modified diets to ensure optimal patient care and satisfaction. Reacts accurately and effectively to all changes to ensure efficiency. Assembles trays for patients and deliver meal trays to patient rooms and nursing units. Occasionally, may also prepare salads, desserts, beverages and other miscellaneous food items. REQUIRED * Six (6) months of customer service or food service experience PREFERRED * Six (6) months to one (1) year healthcare food service experience or two (2) years food service experience.

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Variable Shift Start Time 7:00 AM Shift End Time 3:30 PM Worker Sub-Type PRN 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 Performs all functions of case finding, abstraction, database maintenance, report production, and patient follow-up for the trauma registry. Ensures that Children's Healthcare of Atlanta is in compliance with state reporting requirements and will fulfill criteria for accreditation as set forth by the American College of Surgeons as designated through the state office of EMS and Trauma. Codes and categorizes data and collects data elements falling under the criteria set forth by national trauma databases. Supports trauma data management for the Children's Healthcare of Atlanta system. Proactively supports efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Experience * 2 years of experience in a medical registry or database * 1 year of experience in ICD-9-CM and CPT-4 coding in a hospital setting Preferred Qualifications * Technical degree in Allied Health or bachelor's degree * Certified Specialist in Trauma Registries (CSTR) * Certified Coding Specialist (CCS) Education * High School Diploma or equivalent Certification Summary * No professional certifications required. Knowledge, Skills, and Abilities * High degree of clerical accuracy with attention to detail and ability to organize data. * Good problem-solving, communication, and interpersonal skills * Knowledge of medical terminology and anatomy/physiology * Computer literacy Job Responsibilities * Networks with all ancillary departments (e.g., surgery, medical records, quality, and performance improvement) to ensure that all monitored cases are identified. * Abstracts all reportable cases to meet the Georgia Central Trauma Registry, Georgia Brain and Spinal Injury Trust Fund Commission, National Trauma Data Bank, and any additional data items as requested within 48 hours of discharge dependent on availability of medical record. * Coordinates medical record abstracting, identifies the principal and secondary diagnoses and procedures, and enters all pertinent medical record data into the trauma registry. * Provides updates and generates reports daily to check the registry for accuracy. * Ensures that all new trauma death cases and discrepancies are processed through the Trauma Peer Review committee. * Performs all functions of Trauma Peer Review committee preparation, including schedule preparation, recording and transcription of meeting minutes, coordination of audio-visual equipment, meeting room preparation, and catering. * Serves as an integral component of the data management team at Arthur M. Blank and Scottish Rite, working closely with Trauma Coordinators and physicians. * Performs registry database maintenance, including entry of all extended database data elements per Georgia Central Trauma Registry and National Trauma Data Bank standards. * Participates in 75 percent of Georgia Committee for Trauma Excellence meetings and serves on Georgia Committee for Trauma Excellence data and registry bi-monthly subcommittee. * Demonstrates understanding and supports family-centered care philosophy. * Complies with infection control, safety, and Occupational Safety and Health Administration procedures and regulations. * Meets all in-service requirements as outlined in Personnel Policy #8312-702-92, Nursing Policy #6000-112A-85, and additional departmental requirements if applicable. * Assists physicians with literature requests and information searches. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Coding

Department: 10422 Enterprise Revenue Cycle - Patient Access Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Variable Days Hours of Operation 8a-8p Pay Range $17.65 - $26.50 Major Responsibilities: Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards 1) Greet and Acknowledge all patients and family members in a welcoming and prompt manner. 2) Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications. 3) Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service. 4) Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them. 5) Hand-patients off to the next area with a clear "thank you." When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments. 4) Collecting appropriate out of pocket expenses in accordance with policy. 1) Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network. 2) When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care. 3) When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards. Responsible for security authorization and precertification of inpatient and outpatient services. 5) Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation 1) Maintains knowledge of all stand-alone computer software programs to verify eligibility. 6) Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians 7) Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians 8) Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services 9) Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines 10) Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing. 2) Stays current of all Federal and State regulations regarding billing. 3) Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans. 4) Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk Responsible the pre-registration and registration accuracy. 6) Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations. 1) Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data 2) Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary. 3) During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature. 4) Manage incoming and outgoing calls in order to complete pre-registrations with patients 5) Generates, assembles and processes all required documents for completion of each registration. Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader. 1) Contributes to the quality initiatives and mission by participating in team projects. 2) Attends all required departmental in-services to stay current of all job changes and responsibilities. 3) Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization. Education/Experience Required: High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience Knowledge, Skills & Abilities Required: Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry N/A Physical Requirements and Working Conditions: Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday. Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts. Must be able to push/pull up to 50 lbs. with assistance. Must have functional speech and hearing. Must be able to use hands with fine motor skills for keyboard data entry. Exposed to a normal office environment. Operates all equipment necessary to perform the job. Must be able to work a flexible schedule to support the needs of the department. Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. - I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient's results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Department: 10800 Enterprise Corporate - Medical Staff Services Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday - Friday 8:00am - 4:30pm Pay Range $19.45 - $29.20 Education: High School diploma or GED equivalent. Experience: Three years experience in Medical Staff Services and credentialing; proficiency in credentialing software systems. Special Training/Skills: Proficient in credentialing software systems and Excel. Ability to develop strong working relationships with medical staff leaders and members, good oral and written communication skills. Understanding of DNV and CMS Medical Staff Standards for Credentialing. Must have outstanding professional, organizational, interpersonal, and communication skills. #INDEED456 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing a variety of administrative duties for physicians and other members of the clinic; can have phone contact or direct contact with patients and other clients of the Clinic. REQUIRED: 1. High school degree or equivalent. 2. Knowledge of medical terminology and office procedures. 3. Skill in operating the phone system, computer, fax machine and copy machine. 4. Ability to sort and file materials correctly by alphabetic or numeric systems; Ability to communicate clearly and concisely. 5. Ability to establish and maintain effective working relationships with patients, employees and the public. PREFERRED: 1. Minimum of two years of computer experience in a medical office setting

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing a variety of administrative duties for physicians and other members of the clinic; can have phone contact or direct contact with patients and other clients of the Clinic. REQUIRED: 1. High school degree or equivalent. 2. Knowledge of medical terminology and office procedures. Skill in operating the phone system, computer, fax machine and copy machine. 3. Ability to sort and file materials correctly by alphabetic or numeric systems; Ability to communicate clearly and concisely. 4. Ability to establish and maintain effective working relationships with patients, employees and the public. PREFERRED: 1. Minimum of two years of computer experience in a medical office setting

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 4:30 AM Worker Sub-Type Regular 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 Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services. Experience * At least one year of insurance verification experience Preferred Qualifications * Bachelor's degree * Experience in a pediatric hospital Education * High school diploma or equivalent Certification Summary * No professional certifications required Knowledge, Skills, and Abilities * Working knowledge of basic medical terminology * Demonstrated ability to multitask and problem-solve * Ability to work independently in a changing environment and handle stressful situations * Must be able to speak and write in a clear and concise manner to convey messages. * Proficient in Microsoft Word/Excel/Outlook * May require travel within Metro Atlanta as needed Job Responsibilities * Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation. * Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs. * Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner. * Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process. * Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area. * Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations. * Acts as liaison between clinical staff, patients, referring physician's office, and insurance by informing patients and families of any possible changes, updates, responses or follow up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service. * Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems. * Pre-screens doctor's orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment. * Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims. * Monitors insurance authorization issues to identify trends and participates in process improvement initiatives. * Responds to all inquiries related to authorization/pre-certification issues. * Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children's remains compliant with all regulatory expectations. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Patient Access

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Bills and collects on Medicaid/Medicare accounts in a timely and accurate manner. Qualifications KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED One (1) year experience in billing, OR Associate's Degree in Business. Good verbal communication skills and basic typing ability. Work Hours: 6AM-245PM

Job Description Children's Cardiology, a subsidiary of Children's Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Patient Coordinator provides a high level of patient satisfaction through great customer service and anticipating the patient's needs while coordinating all aspects of patient care to include registering and greeting patients, verifying insurance and handling referrals. Minimum Qualifications High school diploma or associates degree required. Minimum 3 years of healthcare front office experience. Current BLS certification required. Pediatric or family practice experience preferred. EMR/EPIC experience preferred. Working experience with insurance processes required. Proficient in Microsoft Office Suite with emphasis on accurate data entry skills. Demonstrated excellent customer service skills. Effective oral and written communication skills required. Ability to prioritize and handle multiple tasks concurrently. Proven attention to detail, organizational skills and follow-through discipline. Essential Duties and Responsibilities Demonstrate a courteous, friendly and professional demeanor while greeting patients/visitors. Answer incoming calls and respond appropriately to requests, directions and other inquires. Perform check-in/check-out duties including payments, ensuring correct patient information is in the EMR system. Facilitate the registration of patient information including verifying insurance eligibility and other payors. Confirm insurance coverage and obtains authorizations for managed care patients if applicable. Explain regulatory financial requirements/responsibilities to patient or responsible party and collects/posts payments. Collect all applicable payments from patients at time of service. Accurately maintain and balance daily receipts with payments collected. Maintain and print “Department Appointment Report.” Make daily updates to the “Customer Service Communication” clinic boards with correct physician, staff and team member names. Schedule patient appointments when appropriate. Assist co-workers in completion of duties when time allows; share information with co-workers. Travel to other assigned clinic locations as needed for coverage. Maintain Emergency Equipment Check for clinic location when assigned. Assist as or perform the duties of the Medical Assistant as needed, if applicable. Perform other duties and projects as assigned. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category. As a part of the recruiting and new hire process with Children's Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company. Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Tuition reimbursement Vision insurance

Children's Cardiology, a subsidiary of Children's Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Patient Coordinator provides a high level of patient satisfaction through great customer service and anticipating the patient's needs while coordinating all aspects of patient care to include registering and greeting patients, verifying insurance and handling referrals. Minimum Qualifications High school diploma or associates degree required. Minimum 3 years of healthcare front office experience. Current BLS certification required. Pediatric or family practice experience preferred. EMR/EPIC experience preferred. Working experience with insurance processes required. Proficient in Microsoft Office Suite with emphasis on accurate data entry skills. Demonstrated excellent customer service skills. Effective oral and written communication skills required. Ability to prioritize and handle multiple tasks concurrently. Proven attention to detail, organizational skills and follow-through discipline. Essential Duties and Responsibilities Demonstrate a courteous, friendly and professional demeanor while greeting patients/visitors. Answer incoming calls and respond appropriately to requests, directions and other inquires. Perform check-in/check-out duties including payments, ensuring correct patient information is in the EMR system. Facilitate the registration of patient information including verifying insurance eligibility and other payors. Confirm insurance coverage and obtains authorizations for managed care patients if applicable. Explain regulatory financial requirements/responsibilities to patient or responsible party and collects/posts payments. Collect all applicable payments from patients at time of service. Accurately maintain and balance daily receipts with payments collected. Maintain and print “Department Appointment Report.” Make daily updates to the “Customer Service Communication” clinic boards with correct physician, staff and team member names. Schedule patient appointments when appropriate. Assist co-workers in completion of duties when time allows; share information with co-workers. Travel to other assigned clinic locations as needed for coverage. Maintain Emergency Equipment Check for clinic location when assigned. Assist as or perform the duties of the Medical Assistant as needed, if applicable. Perform other duties and projects as assigned. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category. As a part of the recruiting and new hire process with Children's Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company. Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Tuition reimbursement Vision insurance

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Bills and collects on Medicaid/Medicare accounts in a timely and accurate manner. KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED * One (1) year experience in billing, OR Associate's Degree in Business. * Good verbal communication skills and basic typing ability.

**Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, _development,_ and leadership programs + And more **Description** The **Patient Advocate II** manages the investigation, management, regulatory compliance and resolution of complaints and grievances. **RESPONSIBILITIES:** + Collaborates with team members across the system and external resources to support service facilitation requests on behalf of patients, families, leadership, physicians and staff + In compliance with regulatory guidelines, resolves quality of service and quality of care complaints and grievances on behalf of Emory Healthcare + Firmly adheres to federal regulations and Emory Healthcare policies related to the rights and responsibilities of the patient and their representatives, including HIPAA, non-discrimination policies and workplace violence + Patient Advocate 2 serves in advisory role to share the voice of the patient, identify barriers to service, regulatory compliance and support patient experience strategy + Responsible for timely, accurate, and thorough documentation of investigations and resolutions in the event management system + Demonstrates leadership skills in committees and improvement projects to improve patient experience + Performs daily rounds in designated areas and partners with clinical teams to address questions, concerns and resolution of requests and performs routine rounds of common areas and reports facility and safety issues needing attention + Manages complex cases with interdisciplinary teams and responds to cases that are escalated to senior leaders + Successfully engages with multiple levels of leadership to assesses case consequences, makes recommendations based on investigation and advises on timely resolution for complaints and grievances + Works with risk management, quality department, social services, chaplaincy, physicians, public safety, executive administration and financial services on appropriate written and verbal responses to patient grievances + Convenes and facilitates multi-disciplinary groups and arranges family meetings as needed for resolution of complaints and grievances + Works closely with risk managers to identify and investigate matters that have the potential to become a claim or a lawsuit **MINIMUM QUALIFICATIONS:** + 3-5 years experience of customer service or case management experience + Healthcare experience working with clinical teams and/or patients preferred + Demonstrated conflict management and problem solving skills + Telecommunication skills and proficiency using multi-line phone and cell phone **MINIMUM EDUCATION:** + Bachelor's Degree in healthcare preferred + Associate degree or case management / customer service experience + Any combination of education and experience considered **JOIN OUR TEAM TODAY!** Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties. **Additional Details** Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at *************************** . Please note that one week's advance notice is preferred. **Connect With Us!** Connect with us for general consideration! **Division** _The Emory Clinic_ **Campus Location** _Atlanta, GA, 30308_ **Campus Location** _US-GA-Atlanta_ **Department** _TEC Patient Experience_ **Job Type** _Regular Full-Time_ **Job Number** _158534_ **Job Category** _Business Operations_ **Schedule** _8:30a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum** _USD $28.60/Hr._ **Hourly Midpoint** _USD $34.85/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.