WellStar Health Systems Manager of Account Resolution in Marietta, Georgia

Overview

At WellStar we all share common goals. That’s what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the largest not-for-profit healthcare system in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.

Under the direction of the Director of Account Resolution, the Manager of Accounts Resolution plans, and coordinates all HB Accounts Resolution department activities for an account receivable portfolio of approximately $375M- $500M, including, but not limited to supervising, training, interviewing, hiring, counseling and terminating employees, as circumstances dictate. The Manager of Accounts Resolution and Denials Management must provide the dynamic 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, daily operational control for all governmental and / or non-governmental insurance follow-up related functions and provide the enterprise with denial management and educational support in a variety of system wide, departmental and individual settings. The role requires extensive data analysis, trending analysis, project management, workflow design and departmental educational capabilities regarding payor and revenue cycle business related processes.

Responsibilities

This role requires a versatile and well-developed 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 portfolios. 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 Manager must possess the ability to develop and document action plans for quick resource deployment and communicate timely with staff to understand the specific reasons for payment delays. The role requires the ability to effectively and efficiently communicate both orally and in writing to Senior Leadership, multi-task, meet deadlines, enforce organizational policies and procedures, maintain high staff engagement, ensure staff productivity, appropriate cost controls and produce effective operational execution. In addition, the Manager will assist with additional Revenue Cycle related tasks and duties as assigned.

Qualifications

Required Minimum Education:

High school diploma or equivalent required. Bachelor’s degree in business, healthcare or related field is preferred.

Required Minimum Experience:

Two (4) years’ experience in managing hospital patient financial services or related area. Must have a thorough understanding of Medicare, Medicaid and Commercial: healthcare revenue cycle functions, PFS operations, Medicare and Medicaid regulations and reimbursement, collection control points, along with project management, denials management, performance improvement experience. Change management and Lean Methodology experience preferred. A proven track record of successful performance management and progressive growth within the Revenue Cycle is required.

Required Minimum Skills: Strong interpersonal, mathematical, analytical, computer, problem solving and writing skills, with a “take charge” attitude. Must be comfortable interacting with physicians and senior leadership. Must possess strong leadership skills. Must be able to perform a wide variety of tasks that require independent judgment, ingenuity, and initiative. Competent with MS Word, PowerPoint and MS Excel is required as critical analysis will be conducted using this technology.

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Join us for outstanding benefits and development opportunities. We also offer state-of-the-art technology, professional support and advancement, and colleagues that rank amongst the best in the country. The WellStar culture of caring has also been nationally recognized three years in a row by Fortune Magazine as one of the “100 Best Companies to Work For”. Step up to your potential. Find out more and apply today.

WellStar is an equal opportunity/affirmative action employer. All applicants are considered without regard to race, color, religion, sex, age, national origin, disability, veteran status or any status which is protected by local, state or federal law.

Department Patient Financial Services

Facility WellStar Shared Services

Category Leadership

City Marietta

Shift Days

State Georgia