Lead Accounts Resolution Rep

Wellstar Health System; Norcross (GA); Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a Lead Accounts Resolution Rep to oversee a significant accounts receivable portfolio. This role is pivotal in training and guiding staff, ensuring compliance with payer time frames, and enhancing workflow efficiency. The ideal candidate will have a strong background in healthcare revenue cycles and demonstrate exceptional analytical and leadership skills. Join a dynamic team dedicated to improving financial services in a fast-paced environment, where your contributions will directly impact the organization’s success.

Qualifications

• 3+ years in hospital patient financial services with knowledge of revenue cycle.
• Strong analytical and leadership skills are essential.

Responsibilities

• Lead Follow-Up staff and manage daily operations in Accounts Resolution.
• Train staff and ensure adherence to policies and procedures.

Skills

Interpersonal Skills

Analytical Skills

Leadership Skills

Computer Skills

Healthcare Revenue Cycle Knowledge

Education

High School Diploma

Bachelor's in Healthcare or Related Field

CPAR Certification

Tools

Epic

Emdeon Claims Master

MS Office Applications

Job description

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Job Summary

Under the direction of the Manager of Account Resolution, the Lead assists with planning and coordinating all HB Accounts Resolution department activities for an account receivable portfolio of approximately $375M-$500M. Responsibilities include training employees, ensuring eligible accounts are reviewed, appealed, escalated, or adjusted within designated payer time frames, and documenting appropriately in the patient accounting system. The role involves data analysis, trending analysis, workflow design, and departmental educational capabilities regarding payor and revenue cycle business processes.

Facility: VIRTUAL-GA

Core Responsibilities and Essential Functions

• Lead and provide direction to Follow-Up staff, managing daily operations, evaluating trends, and optimizing workflows.
• Train staff, recognize performance, and ensure adherence to policies and procedures.
• Set strategic and short-term goals, monitor productivity, and support departmental projects.
• Review and improve work procedures for efficiency.
• Monitor progress using productivity reports and provide feedback.
• Maintain proficiency in automated systems like Epic and Emdeon Claims Master.
• Review write-off requests and miscellaneous cash adjustments.
• Ensure timely resolution of review requests and audits.
• Collect and resolve payments, research denials, and ensure compliance with legal and regulatory standards.

Minimum Education and Certifications

High school diploma or equivalent required; Bachelor's in healthcare or related field preferred. Certifications like CPAR are strongly preferred.

Experience and Skills

At least three years in hospital patient financial services or related area, with a thorough understanding of healthcare revenue cycle functions, regulations, and reimbursement methodologies. Strong interpersonal, analytical, computer, and leadership skills are essential.

Additional Requirements

Ability to work under pressure, independently, and as part of a team. Proficiency in MS Office applications is required.

Employment Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Sales and Business Development
• Industries: Hospitals and Health Care