Account Resolution Coordinator-Hospital Billing

Posted 2 Days Ago
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Centro, Maripí, Boyacá, COL
In-Office
Junior
Healthtech
For the bumps, bruises and every curveball in between, go to Children's for that.
The Role
Handles hospital insurance billing, claims submission, rebilling, payment follow-up, denials, correspondence, and unpaid account resolution. Coordinates with payors, guarantors, and internal patient-account teams to resolve reimbursement delays, maintain accurate account documentation, meet collection goals, and process Medicaid, commercial, self-pay, bad-debt, and third-party insurance accounts.
Summary Generated by Built In

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Work Shift

Day

Work Day(s)

Shift Start Time

Shift End Time

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

Meets all department collection and follow-up performance expectations. Completes assigned work in a timely fashion and reports any issues or obstacles to lead collector or patient accounts supervisor to ensure swift resolution. Identifies payor trends proactively in relation to zero payment, payment variance, billing, and denials. Works closely with other collectors and lead collectors in completing claims billing and follow-up collection activities. Completes projects as requested by patient accounts manager or patient accounts supervisor. Adheres to company and department attendance, basic work requirements, and other policies and procedures.

Experience

  • 1 year of experience in insurance billing or collections, with a general knowledge of hospital business office functions

Preferred Qualifications

  • Some college
  • 2 years of experience in insurance billing and/or collections, with a general knowledge of hospital business office functions
  • Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., Epic Resolute, Dentrix Dental, Clearinghouse, or comparable system

Education

  • High school diploma or equivalent

Certification Summary

  • No professional certifications required

Knowledge, Skills, and Abilities

  • Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay
  • Must have excellent telephone communication and customer service skills
  • Excellent written and verbal communications skills
  • Familiar with medical terminology, including diagnosis and procedure codes
  • Must be able to meet department/individual goals
  • Must be able to type 45 words per minute
  • Must be able to operate personal computer-based systems, including working knowledge of word processing, spreadsheet, and billing software

Job Responsibilities

  • Performs daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual.
  • Ensures that special billing needs by payor are performed to prevent denial of claims and delay in payment.
  • Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status.
  • Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement.
  • Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes.
  • Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner.
  • Complies with department workflows and routines.
  • Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement.
  • Works correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts.
  • Works returned mail on high-dollar accounts and correspondences from third-party payors.
  • Takes appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances.

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

Skills Required

  • One year of experience in insurance billing or collections with general knowledge of hospital business office functions
  • High school diploma or equivalent
  • Knowledge of third-party requirements and policies, including Medicaid, managed care, commercial payors, and self-pay
  • Excellent telephone, written, and verbal communication skills
  • Familiarity with medical terminology, including diagnosis and procedure codes
  • Ability to meet department and individual goals
  • Typing speed of 45 words per minute
  • Working knowledge of personal computer systems, word processing, spreadsheets, and billing software
  • Some college
  • Two years of experience in insurance billing and/or collections with general knowledge of hospital business office functions
  • Knowledge of Epic Resolute, Dentrix Dental, Clearinghouse, or comparable patient accounting systems

Children's Healthcare Of Atlanta Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Children's Healthcare Of Atlanta and has not been reviewed or approved by Children's Healthcare Of Atlanta.

  • Healthcare Strength Comprehensive medical, dental, and vision coverage is paired with on‑site or near‑site primary care, a 24/7 nurse line, Teladoc, and counseling resources. Wellness services such as fitness centers, classes, and biometric screenings reinforce access to care and preventive support.
  • Parental & Family Support Near‑site child care, a child‑care credit, adoption and fertility assistance, and paid parental and other leaves indicate strong family‑oriented support. Everyday convenience perks like a free concierge service further ease caregiving and life logistics.
  • Retirement Support A dual‑plan setup with a 403(b) savings plan and a separate employer‑funded 401(a) growth plan signals meaningful long‑term financial support. Financial‑wellness resources are also highlighted.

Children's Healthcare Of Atlanta Insights

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The Company
HQ: Atlanta, Georgia
7,900 Employees
Year Founded: 1998

What We Do

For more than 100 years, Children’s Healthcare of Atlanta has depended on clinical and nonclinical employees to help make kids better today and healthier tomorrow. Consistently ranked as one of the leading pediatric healthcare systems in the country by U.S. News & World Report, Children’s is the only freestanding pediatric healthcare system in Georgia and one of the largest pediatric clinical care providers in the country. We’re also one of Atlanta’s leading employers and have been recognized as one of the nation’s top places to work. Our System includes: • 789 licensed beds • Three hospitals • Urgent Care Centers • Marcus Autism Center • Center for Advanced Pediatrics • Support Center for nonclinical staff • More than 14,000 employees, including more than 4,400 nurses and 2,300 physicians representing more than 60 pediatric specialties and programs Why Children’s? Here are some of the reasons new graduates and experienced clinicians alike choose Children’s. • We manage more than 1.1 million patient visits and 44,400 surgical procedures annually. • We are home to the only Level 1 and one of the only Level 2 pediatric trauma centers in Georgia. • We take a team approach to care. Our clinicians collaborate with social workers, chaplains, music therapists, therapy dogs and many others to help ensure kids receive comprehensive care.

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