Lead Collections Specialist WMCG

Job Summary

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 whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives.

Core Responsibilities and Essential Functions

Primary Responsibilities :

• Transmit required documentation to third-party payors for the purpose of resolving payments
• Ensure all payor contact is fully documented in the appropriate software application
• Monitor payments for accuracy and timeliness, contacting payors to resolve outstanding amounts and reporting ongoing problems and issues to the unit supervisor
• Recommend accounts for contractual or administrative write-off, along with appropriate justification and documentation
• Meet productivity standards, targets, error ratios, and reporting requirements as assigned by the department manager or supervisor
• Provide individual contribution to the overall team effort of achieving the department AR and posting goal
• Identify opportunities for system and process improvement and submit to management
• Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
• Demonstrate knowledge of HIPAA privacy standards and ensure compliance with system PHI privacy practices
• Follow the WellStar general Policies and Procedures, the Departments Policies and Procedures, and the Emergency Preparedness Procedures
• Follow JCAHO and outside regulatory agencies mandated rules and procedures
• Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor
• Utilize assigned menus and pathways in foreign software applications and report software application problems to the appropriate supervisor
• Utilize assigned computer hardware and report hardware problems to the appropriate supervisor
• Participate in the testing for assigned software applications, including verification of field integrity
• Develop and maintain positive working relationships with third party payers to facilitate the resolution of issues and expedition of payments
• Develop and maintain positive working relationships with third party payers to facilitate the resolution of issues and expedition of payments

Other Lead Functions :

Required Minimum Education

High school diploma or GED equivalent Required.

Required Minimum License(s) and Certification(s)

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s)

Required Minimum Experience

Minimum 4 years experience in healthcare automated cash applications Required and previous supervisory experience Preferred.

Required Minimum Skills

Skill in problem solving in a variety of settings; Skill in motivating and directing the work and activities of staff with the ability to effectively delegate; Skill in technical and professional accounting; Skill in good oral, written, and interpersonal communication, grammar, and spelling; Skill in time management and project management; Strong understanding of 835 Remittance Files functionality; Strong understanding of Clearing House vendor management from a Payment Perspective. Ability to work cooperatively in a team environment; Ability to set climate for performance at optimum levels; Ability to establish and maintain a cohesive work team; Ability to work efficiently under pressure; Ability to apply appropriate leadership techniques in an operational setting; Ability to work independently and take initiative; Demonstrates a commitment to continuous learning and to operationalize that learning; Ability to willingly accept responsibility and / or delegate responsibility; Ability to deal effectively with constant changes and be a change agent; Ability to deal with difficult people and / or difficult situations effectively; Ability to set priorities and use good judgement for self and staff.

Join us and discover the support to do more meaningful workand enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.