Director, Account Resolution & Variance MGBO

Company: WellStar Health System
Location: Marietta
Posted on: June 2, 2021

Job Description:

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 most integrated healthcare provider 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.

Responsibilities

The Director Account Resolution manages all resources and activities related to managing the daily operations of Insurance Follow-up, Denials, and Variance department. This position provides leadership and direction for physician denial and underpayment functions including research and follow-up on all outstanding insurance receivables due and owed. He/She is accountable for accelerating cash collections as it relates to account follow up, denials, and variance appeals. They are responsible for developing and implementing sound policies and procedures that adhere to federal/state regulations and uphold Wellstar’s mission and values to promote high levels of patient satisfaction

Qualifications

Required Minimum Education: Bachelor’s Degree Required in Health Care Administration, Business, Finance, or another related field.

Preferred Licensure/Certification: CRCR/CPC (can be obtained within 1 year of being in the role)

Required Minimum Experience: 7+ years’ experience in Healthcare or Business Administration required such as but not limited to clinic management, patient management, and accounts receivables and payables. 3 years of supervisory experience required. 5+ years of revenue cycle, business office or other relevant experience preferred. Strong background in financial management, project implementation, and knowledge of federal and state laws and requirements relating to healthcare management.

Required Minimum Skills: Excellent communication skills to include oral comprehension/expression and written comprehension/expression. Effective problem-solving and critical thinking skills. Ability to manage a chaotic work environment related to changing industry standards, needs, and increasing volumes. Self-directed, independent thinker, and analytical acumen required to managed and review outstanding accounts receivable and aging. Ability to collaborate with other key stakeholders and implement efficient process change, system updates, and strategic initiatives.

Advanced Microsoft Word, Excel, and Power Point.

Ability and willingness to exhibit behaviors consistent with principles for service excellence. Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring with a proven track record in building and developing high performing teams. Ability to align departmental goals around the WMG and MGBO department goals and system initiatives.

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. 

Step up to your potential. Find out more and apply today!

Keywords: WellStar Health System, Marietta , Director, Account Resolution & Variance MGBO, Other , Marietta, Georgia