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Work Shift

Day

Work Day(s)

Monday-Friday

Shift Start Time

7:30 AM

Shift End Time

4:00 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.

Job Description

Performs all collection and follow-up activities for assigned team. Provides overall daily monitoring and management of area of oversight including claims billing and collection activities. Proactively identifies payor trends in relations to zero payment, payment variance, billing, and denials. Works closely and partners with Information Systems & Technology, Revenue Cycle Analytics, Patient Access, Coding, Health Information Systems, Reimbursement, Finance, Managed Care, and other departments as related to claims billing and follow-up collection activities. May be asked to lead projects as requested by Manger, Patient Accounting. Works closely with Manager, Patient Accounting to monitor quality measures related to billing compliance and collection activities. Reviews work queue assignments and volumes to ensure effective collection efforts and maximized cash recovery. Monitors and performs timekeeping functions for department staff. Manages performance and development of department staff.

Experience

5 years of progressive experience in third-party, managed care, Medicare, Medicaid, CHAMPUS, and Blue Cross collections, UB04/1500 billing procedures, cash applications, balancing and reconciliation processes, and overall business office operations

Preferred Qualifications

Bachelor's degree2 years of experience in a supervisory roleKnowledge of computer hardware and software and its functions within the billing and patient accounting workflowKnowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., EPIC Resolute, Dentrix, Clearinghouse, or comparable

Education

Associates degree or 7 years of supervisory experience in healthcare billing and collections

Certification Summary

No professional certifications required

Knowledge, Skills, and Abilities

Must possess and demonstrate strong communication, organizational, and interpersonal skillsProven aptitude for problem-solving and critical thinkingAbility to multitask and work both independently and within teams while working effectively with attention to detail

Job Responsibilities

Supervises staff in Billing or Patient Accounting departments and monitors activity, ensuring high-quality claims processing and account resolution.Conducts routine account audits for all Collectors to identify trends in collection efforts and provides findings to Manager, Patient Accounting or department director.Monitors staff productivity and quality and recommends action steps to improve performance.Ensures compliance with facility and departmental policy and procedures.Maintains working knowledge of applicable systems and department policies.Supports Manager, Patient Accounting in communicating team initiatives while tracking team progress towards agreed goals.Reviews escalated accounts timely for claim errors or payor issues and provides guidance to staff to increase capability while minimizing delays in account adjudication.Monitors and recommends development of staff education program and manages orientation, competency assessment, and education for Patient Accounting staff.Supports Manager, Patient Accounting in executing and achieving Revenue Cycle goals and initiatives.Provides day-to-day supervision of staff, including problem-solving, scheduling, and productivity monitoring.Supports Manager, Patient Accounting in implementing new departmental projects and goals.Monitors and maintains Clearinghouse and Epic Resolute systems, including work queues and reports to ensure proper functionality.Monitors Epic work queues for Patient Accounting department and recommends solutions to address workflow challenges and staff performance gaps.Completes timekeeping while monitoring staff attendance in a timely fashion for payroll processing.Performs other duties and responsibilities as required.Manage the day-to-day operations of the staff, including but not limited to: work assignments, task management, time tracking/management, and on-the-job training.Take an active role in coaching and mentoring the team to ensure continued employee growth and success both on the team and at the broader CHOA organization.Assist manager with employee performance evaluations and hiring decisions.

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