AR Specialist (Hybrid)

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 AR Coordinator is responsible for effective and efficient accounts receivable management of assigned commercial and patient payers. The position may handle work collection reports and correspondence, account audits, appeals of denied claims, update accounts, identify denial trends and meet departmental productivity standards. Key responsibilities include following up on outstanding claims, resolving denied claims through appeals, posting payments, and reducing bad debt.

Minimum Qualifications

• Associates degree preferred or equivalent work experience.
• Minimum two years of experience with high volume payor denials and claims.
• Must have healthcare experience including understanding of medical terminology for billing and coding: EOB's, ICD-10 and CPT Codes.
• Proficient in Microsoft Office.
• Proficient in 10-Key with no less than 13,500 KPH (50 WPM).
• Epic experience required, experience with Waystar preferred.
• Demonstrated effective oral and written communication.
• Proven attention to detail, organizational skills and follow-through discipline.
• Ability to prioritize and handle multiple tasks concurrently.
• Demonstrated excellent customer service skills, good judgement and problem-solving ability.

Essential Duties and Responsibilities

• Work independently and as part of a team to resolve complex patient account issues.
• Maintain industry standards for the assigned Accounts Receivable regarding to aging, collection rates, and days in AR.
• Complete timely follow up and collection of outstanding monies due from the payors and/or assigned patient accounts.
• Post contractual and courtesy adjustments to accounts and follow up on outstanding insurance claims in a timely manner.
• Assess Claim Edit, Transaction Editing, Clearinghouse, eligibility or other applicable billing edit messages to resolve any issues preventing release of claims from Epic and or Waystar.
• Process rejected or denied claims and file appeals or reconsiderations as needed.
• Monitor assigned aging reports, reducing and maintaining assigned accounts within required benchmarks and documenting resolution.
• Maintain current payor portal knowledge and functionality, following company procedures to involve the appropriate departments for assistance.
• Take appropriate action in responding to patient questions within one business day.
• Provide superior customer service and support the continuous assessment and improvement of the overall patient experience.
• Meet departmental goals and weekly and monthly individual metrics as assigned.
• 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.