Job Description

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Work Shift

Day

Work Day(s)

Friday, Monday, Thursday, Tuesday, Wednesday

Shift Start Time

8:30 AM

Shift End Time

5:00 PM

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.

A key contributor to strategic business projects related to revenue cycle performance. Under the direction of Revenue Cycle leadership this position is responsible for efficient charge monitoring, holds, and release of Children’s professional charges based on provider enrollment status with both government and commercial payers. Produces reporting as well as providing analytic analysis of the data to Revenue Cycle leadership and other stakeholders at all levels of the organization. Coordinates activities and initiatives with IS&T, Budget and Decision Support, Finance and other departments as related to Revenue Cycle systems, metrics, and results.

Experience

• Minimum of 2 years of experience in Revenue Cycle or billing-related responsibilities in a physician practice setting
• Proficient in Microsoft Word and Excel
• Must be very organized with the ability to handle multiple tasks at once
• Demonstrated verbal and written communication, organizational, customer service, and interpersonal skills
• Skilled in problem-solving and critical thinking

Preferred Qualifications

• Bachelor’s Degree in Business, Health Administration, or related field
• Experience working with Epic Systems
• Experience with Symplr or other similar credentialing software
• Familiarity with professional billing terminology and provider enrollment standards

Education

• Associates Degree in Business, Health Administration, or related field

Certification Summary

• No professional certifications required

Knowledge, Skills, and Abilities

• Demonstrated organizational and communication skills and ability to work with detailed financial information with accuracy and confidentiality
• Demonstrated communication skills with a variety of audiences, including department management, organizational leaders, and staff members
• Ability to establish goals and achieve results within defined timelines and with minimal oversight

Job Responsibilities

• Runs, reviews, interprets, analyzes, and validates revenue cycle reports for provider enrollment holds. Ensures the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
• Conducts revenue cycle analysis, specific to enrollment, and provides trends as needed by revenue cycle leadership team to ensure accuracy with charge holds.
• Manages enrollment holds in Epic through use of a Provider Enrollment Table. Utilizes SharePoint to place providers’ initial enrollment holds and track credentialing status using Microsoft Access. Utilizes Symplr to guide releasing holds.
• Has detailed knowledge on Children’s provider enrollment hold practices and can communicate accurately to Practice Leadership. Provides feedback to practice leaders when providers’ holds are modified based on enrollment status.
• Provides support for accurate professional charge submission using Epic Charge Review and Claim Edit work queues. Provides proactive support for claim denials related to provider enrollment status.
• Acts as a resource and reference for the system related to provider enrollment holds.
• Supports and participates in the continuous assessment and improvements of the quality of services provided.

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 Financial Services