Acct Resolution Rep II (Remote) - PFS Account Resolution
Company: WellStar Health System, Inc.
Posted on: November 21, 2022
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.
This is a remote position. 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.
Required Minimum Education
- High school diploma or equivalent required
- Certified Advanced CPAR or equivalent is strongly preferred
Required Minimum Experienc e:
- Experience as an Account Follow-up Representative I or a
minimum of two (2) years in hospital patient financial services or
- Must have a thorough understanding of Governmental, i.e.
Medicare, Medicaid and / or Non-Governmental, i.e. Commercial:
healthcare revenue cycle functions, PFS operations, regulations and
reimbursement methodology, denials management, payor technical
denial appeals and a proven track record of successful performance
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 insurance providers,
physicians and leadership 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.
- Establish a climate to achieve optimal performance levels and
maintain a cohesive work team
- Work efficiently under pressure and deal effectively with
- 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
- Accept responsibility and/or delegate responsibility
- Set priorities and use good judgment for self and staff
Keywords: WellStar Health System, Inc., Smyrna , Acct Resolution Rep II (Remote) - PFS Account Resolution, Other , Smyrna, Georgia
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