Job Description

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and 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

The Senior Hospital Billing Representative provides advanced expertise and leadership support for billing and accounts receivable (AR) operations. This position mentors billing and AR staff, monitors quality and productivity standards, and assists leadership with process improvements and payer relationship management. The Lead serves as a subject matter expert for complex billing issues and supports operational efficiency through data-driven insights and cross-functional collaboration.

Primary Duties and Responsibilities

Billing Operations and Leadership:

• Serve as a subject matter expert for payer rules, claim submission, denial management, and AR workflows.
• Monitor team performance and quality assurance metrics to ensure compliance, accuracy, and timeliness.
• Provide coaching, training, and mentorship to billing and AR staff to promote skill development and team performance.

Compliance and Quality Assurance:

• Ensure billing practices comply with HIPAA, CMS, and payer-specific regulatory requirements.
• Participate in internal audits, workflow reviews, and process evaluations to maintain compliance and accuracy.
• Collaborate with revenue integrity and compliance teams to address complex payer issues and audit findings.

Financial Analysis and Process Improvement:

• Assist supervisors with workflow monitoring, reporting, and trend analysis to support data-driven decision-making.
• Analyze payer denial and payment trends to identify opportunities for process improvement and revenue recovery.
• Partner with cross-functional teams on projects to optimize billing processes, improve reimbursement, and enhance performance outcomes.
• Perform other duties as assigned.

Travel:

• Less than 10% of the time may be required.

Work Type:

• Remote - Works from locations outside a traditional office, often from home or another remote setting.

Minimum Required Qualifications

Education

• Associate's degree in Business Administration, Healthcare Administration, or related field;
• Or equivalent experience and education combination

Experience

• 4+ years of experience in hospital billing, accounts receivable, or revenue cycle operations

Knowledge, Skills & Abilities (Required):

• Advanced knowledge of hospital billing and accounts receivable workflows
• Ability to analyze payer trends and implement corrective actions
• Strong leadership, mentorship, and interpersonal skills
• Proficiency with Epic and reporting tools
• Excellent problem-solving and conflict resolution abilities
• Strong attention to detail, organization, and accountability for results
• Effective written and verbal communication skills
• Commitment to continuous improvement and operational excellence

Preferred Qualifications Education

• Associate's degree in Business Administration, Healthcare Administration, or related field

Experience

• 6+ years of experience in hospital billing or healthcare revenue cycle

Certification

• Epic Systems

Knowledge, Skills & Abilities (Preferred):

• Proficiency in Epic and billing software systems
• Prior leadership or mentorship experience

Physical Requirements (Medium - Max 25 lbs): Up to 25 lbs., 0-33% of the workday (occasionally). Lifting 25 lbs. max; carrying of objects up to 25 lbs.; occasional to frequent standing and walking; occasional sitting; close eye work (computers, typing, reading, writing). Physical demands may vary depending on assigned work area and work tasks. Environmental Factors: Environmental conditions may vary depending on assigned work area and tasks. Exposures include but are not limited to: blood-borne pathogens, biohazardous waste, chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting, patient care/handling injuries, radiation, and shift work. Travel may be required. Use of personal protective equipment, including respirators, may be required depending on work area and task.