Acct Resolution Rep II
Company: Wellstar Health System, Inc.
Location: Atlanta
Posted on: March 20, 2023
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Job Description:
Responsibilities
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,
including, but not limited to collaboratively working with their
Team Lead, Manager, and assisting with training, employees, as
circumstances dictate. The Account Resolution Representative II
will assist with the development of strategies for establishing a
continuous improvement work environment, ensure eligible accounts
are reviewed, appealed, escalated or adjusted within the designated
payer time frames and are documented appropriately in the patient
accounting system. As well as providing educational support in a
variety of departmental and individual settings. The role requires
data analysis, trending analysis, and educational capabilities
regarding payor and revenue cycle business related processes.
This role requires a versatile and well developed actionable
understanding with demonstrated knowledge of billing, collections,
denial management, contractual provision interpretation and
provider / payor appeal requirements. In addition to a strong
understanding and capability of common business technologies such
as MS Office, Excel, PowerPoint, Word and Outlook to perform and
communicate the assessment and analysis of multiple acute care and
LTAC facility accounts receivable trending and findings is needed.
The core role focus of this position is to ensure that accounts are
brought final resolution through reimbursement for services and to
mitigate financial losses through solid operational execution,
development and conformity to defined Policies and Procedures. The
Account Resolution Representative II must possess the ability to
assist with developing and documenting action plans for quick
resource deployment, communicate timely with leadership to
understand the specific reasons for payment delays. The role
requires the ability to effectively and efficiently communicate
both orally and in writing to leadership, multi-task, meet
deadlines, adhere to organizational policies and procedures. In
addition, the Account Resolution Representative II will assist with
additional Revenue Cycle related tasks and duties as assigned.
Qualifications
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Keywords: Wellstar Health System, Inc., Atlanta , Acct Resolution Rep II, Other , Atlanta, Georgia
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