[Hiring] Acct Resolution Rep II @Wellstar Health System

Role Description

Under the direction of the Manager of Account Resolution, the Account Resolution Representative II assists with planning and coordinating HB Accounts Resolution follow up activities for an account receivable portfolio of approximately $375M-$500M.

• Collaboratively work with Team Lead and Manager, assisting with training employees as circumstances dictate.
• Assist with the development of strategies for establishing a continuous improvement work environment.
• Ensure eligible accounts are reviewed, appealed, escalated or adjusted within designated payer time frames and documented appropriately in the patient accounting system.
• Provide educational support in various departmental and individual settings.
• Perform data analysis, trending analysis, and educational capabilities regarding payor and revenue cycle business related processes.
• Possess a strong understanding of billing, collections, denial management, contractual provision interpretation, and provider/payor appeal requirements.
• Utilize common business technologies such as MS Office, Excel, PowerPoint, Word, and Outlook for assessment and analysis of accounts receivable trending and findings.
• Ensure accounts are brought to final resolution through reimbursement for services and mitigate financial losses through solid operational execution.
• Assist with developing and documenting action plans for quick resource deployment and communicate timely with leadership regarding payment delays.
• Effectively communicate both orally and in writing to leadership, multi-task, meet deadlines, and adhere to organizational policies and procedures.
• Assist with additional Revenue Cycle related tasks and duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Certified Advanced CPAR or equivalent is strongly required.
• Experience as an Account Follow-up Representative I or a minimum of two (2) years in hospital patient financial services or related area required.
• Thorough understanding of Governmental (Medicare, Medicaid) and Non-Governmental (Commercial) healthcare revenue cycle functions, PFS operations, regulations, and reimbursement methodology required.
• Proven track record of successful performance within the Revenue Cycle required.

Requirements

• Strong interpersonal, mathematical, analytical, computer, problem solving, and writing skills with a “take charge” attitude.
• Comfortable interacting with insurance providers, physicians, and leadership.
• Able to perform a wide variety of tasks that require independent judgment, ingenuity, and initiative.
• Competent with MS Word, PowerPoint, and MS Excel as critical analysis will be conducted using this technology.
• Ability to establish a climate to achieve optimal performance levels and maintain a cohesive work team.
• Work efficiently under pressure and deal effectively with constant change.
• Operate a computer and related applications.
• Apply appropriate supervisory, management, and leadership techniques in an operational setting.
• Work independently and take initiative.
• Demonstrate a commitment to continuous learning.
• Deal effectively with difficult people and/or difficult situations.
• Willingly accept responsibility and/or delegate responsibility.
• Set priorities and use good judgment for self and staff.

Benefits

• Support to do more meaningful work.
• Enjoy a more rewarding life.
• Connect with the most integrated health system in Georgia.