Healthcare AR Resolution Specialist

Wellstar Health System, Inc.; Atlanta (GA); Presencial; USD 40.000 - 60.000; Jornada completa

Descripción de la vacante

Wellstar Health System, Inc. is seeking an Account Resolution I representative to review and appeal eligible accounts within payer timeframes.

You will track recovery efforts using departmental tools and communicate findings to relevant departments to promote timely resolutions. The role requires attention to detail, accuracy in documentation, and collaboration with clinical and billing teams to resolve denials and improve processes.

Formación

• Performs basic and complex financial reviews of accounts and payer documentation.
• Works with denials, appeals, and adjustments to recover payments.
• Maintains accurate documentation in patient accounting systems and reports.
• Keeps management informed of ongoing payer issues and root causes.

Responsabilidades

• Collect and resolve payments from insurance companies.
• Execute denial appeals process with third-party payers.
• Prepare, maintain, and submit reports as required.
• Report ongoing problems to management and suggest improvements.
• Ensure payer contact is documented in the system.
• Meet productivity and quality standards in account resolution.
• Collaborate with team members and cross-train as needed.

Conocimientos

Mathematical calculations

Problem solving

Analytical skills

Communication skills

PC/Computer skills

Time management

Organization

multitasking

Educación

High school diploma or equivalent

Herramientas

Mainframe / patient accounting software

Descripción del empleo

Wellstar Health System, Inc. is seeking an Account Resolution I representative to review and appeal eligible accounts within payer timeframes.

You will track recovery efforts using departmental tools and communicate findings to relevant departments to promote timely resolutions. The role requires attention to detail, accuracy in documentation, and collaboration with clinical and billing teams to resolve denials and improve processes.