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.

Work Shift

Day (United States of America)

Job Summary:

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.

Core Responsibilities and Essential Functions:

Primary Responsibilities - Ensures staff follow-up on claims promptly, and is held accountable for aged receivables - Conducts regular staff meetings to discuss new or modified procedures. - Reviews and monitors staff time and attendance. - Ensures WellStar policies and procedures are current, up to date and being followed. - Approves adjustments per the policy - Assumes responsibility for identifying and resolving issues quickly and effectively - Set productivity standards with help from Director and holds staff accountable. Responsible for staff education and corrective action and documentation. - Timely and accurate review of payment variance for all payers. - Oversee any special projects. - Appropriately administer praise and recognition. Complete performance evaluations on time. - Review, analyze and interpret monthly/weekly reports to make informed managerial decisions to reach all KPI goals. Secondary Responsibilities - Communicate recommendations or findings to Director - Work with Managed Care department and designated Payer Representatives to resolve Aged AR or issues. - Monitor market and/or payer changes for payment rules. - Establish and maintain working relationships with physicians and practice - Maintain standards in use of systems and applications for consistent follow up account management. - Identify and bring to management attention any opportunities for system or process improvements. - Approve and manage tracking of sick/vacation requests in accordance with department policy.

Required Minimum Education:

High school diploma Required and BA or BS, preferably in Business, Accounting, or Finance Preferred

Required Minimum License(s) and Certification(s):

Additional Licenses and Certifications:

Required Minimum Experience:

Minimum 2 years Physician billing/collection Required and Knowledge of CPT coding, Medicare and Medicaid regulations for billing Required and Proficiency in Microsoft Office products Required and Minimum 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. Demonstrates a commitment to continuous learning and operationalize that learning Ability to deal effectively with constant changes and be a change agent Ability to deal with difficult people and /or difficult situations effectively

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.