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Work Shift

Work Day(s)

Shift Start Time

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.

Experience

• 5 years of related experience

Preferred Qualifications

• Experience in the healthcare industry

Education

• Bachelor’s degree in related field
• Or 10 years of related experience

Certification Summary

• No professional certifications required

Knowledge, Skills and Abilities

• Advanced oral and written communication skills
• Strong interpersonal communication skills
• Ability to work collaboratively with employees at all levels of the organization
• Independent judgment to plan, prioritize, and organize a diversified workload with attention to detail
• Personal computer skills, including Microsoft Word, PowerPoint, Excel, and other Windows-based applications
• Strong reporting and analytical skills

Job Responsibilities

• Ensures service line charity applications are completed timely and documentation is complete to ensure system compliance.
• Coordinates with service line to facilitate improvement in charity application process.
• Reviews all back-end charity applications and processes approvals/denials.
• Processes all charity adjustments, including service line and back-end write offs.
• Approves all charity adjustments under $5,000.
• Prepares month-end reports for charity metrics.
• Maintains charity database.
• Updates system charity care policy as needed.
• Provides charity training/education to service lines and trains new directors, vice presidents, and service line leaders on charity policy and process.
• Provides administrative support to Charity Oversight and Charity Exception committees and participates in Complex Care committee.
• Communicates charity approvals with all key stakeholders, including Scheduling, Patient Access, and Patient Accounting.
• Conducts quarterly meetings with Service Line Directors and Service Line Administrators.
• Demonstrates sensitivity and compassion to all individuals seeking assistance and effectively communicates with families or community members of diverse backgrounds.
• Demonstrates confidentiality and security protocols pertaining to an individual’s income or financial criteria.
• Maintains knowledge of and adheres to the financial assistance policy to educate, screen, and assist patients, parents, community, and departments throughout Children’s Healthcare of Atlanta.
• Creates all system estimate requests in a timely manner with utilization of Epic payment estimate or Qlikview tool based on request type.
• Provides patients with accurate estimates of financial responsibility based on insurance coverage or eligibility for government programs within two business days.
• Submits estimate requests to internal and external customers in a timely manner via appropriate method of correspondence (e.g., email, telephone).
• Responds to patient/family questions regarding pricing and costs in a readily understandable manner by interpreting and explaining insurance benefits/eligibility and contract language clearly and concisely.
• Coordinates financial counseling services when requested or applicable.
• Maintains work queues and reports to provide data analysis.
• Provides month-end reports for payment estimate metrics.
• Performs audits of estimates and presents findings to all key stakeholders, including senior leadership when requested.
• Communicates any variances within payment estimator and/or Qlikview tool and reports findings to appropriate entities in a timely manner.
• Maintains created estimates on P drive in Payment Estimator folder for designated time frame.
• Remains updated on changes to price estimate tool to ensure price estimates remain accurate.

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.