Mgr Account Resolution I MGBO
Wellstar Health Systems

Marietta, Georgia


Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

Under the management of the Director, the Manager of Account Resolution plans, coordinates and controls all Accounts Resolution under their designated authority. The Manager will assist the Director in reviewing and analyzing the daily Accounts Receivables Aged Trial Balance (ATB) for trends in terms of count/dollars and variances by facility/payer/overall organization. Document and implement action plans for strategic initiatives, including those that affect month/quarter/year-end financial closes. Deploy resources in accordance with detailed action plans. The Account Resolution Manager is responsible for ensuring all eligible accounts are followed up on and appealed within the designated payer timeframes and are documented appropriately in the patient accounting system. Additionally, the Account Resolution Manager will be responsible for the tracking and trending of recovery efforts by utilizing various departmental tools and appropriately reporting on-going problems specific to payers, health system departments, and/or contracts The Account Resolution Manager is responsible for the team in daily work flow, questions and general team assignments; analyzing, problem-solving, coaching, team-building, hiring, interviewing, supervising, training, counseling and disciplinary actions. Communicate trends and action plans to Senior Leadership. Enforces organizational policies and procedures to ensure quality guest relations, high staff productivity, high quality staff/team work-product, appropriate cost controls and effective operations. Assists Senior Leadership with any departmental tasks and requests, as needed.

Qualifications

Required Minimum Education:

  • High School Diploma or equivalent required.
  • BA or BS, preferably in Business, Accounting, or Finance preferred.
Required Minimum Experience:
  • Minimum 2 years Physician billing/collection experience.
  • Knowledge of CPT coding, Medicare and Medicaid regulations for billing required.
  • Proficiency in Microsoft Office products required.
  • Two (2) years previous supervisory experience in physician billing and follow up preferred.
Required Minimum Skills:
  • Broad proven practical experience in professional billing, follow up, and customer service
  • Knowledge of physician billing process and revenue cycle environment
  • Knowledge of hospital based professional billing is preferred
  • Knowledge of state and federal regulations as they pertain to collection processes and procedures
  • Knowledge of and skill in the use of computers and related systems and software
  • Knowledge of Managed Care contracts and various payment methodologies used and biollig requirements.
  • Skill in motivating and directing the work and activities of staff with the ability to effectively delegate
  • Ability to establish and maintain a cohesive work team and effeciently work under pressure.
  • Ability to deal effectively with constant changes and be a change agent
  • Ability to deal with difficult people and /or difficult situations effectively

We'd like to invite you on a career journey like no other! In return for your contributions, we'll help you make the most of all life's moments - on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy. We think it's pretty simple - we care for our team members and our team members care for the community.

Make a difference in patients' lives... and your own! Here, it's more than healthcare - it's CareerCare!


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