The Executive Director of Accounts Receivables Medical Group Business Office (MGBO) manages all resources and activities related to managing the daily operations of Account Resolution, Payment Variance, Insurance Credits, Insurance Cash Applications and Hospice Revenue Cycle (End-to-End). This position provides leadership and direction for physician billing functions including researching and following-up on all outstanding insurance receivables. He/She is accountable for accelerating cash collections as it relates to account follow up. Identifying underpayments and appealing those variances directly with the payors or working with Managed Care to handle bulk appeals. Timely and accurately posting of all insurance cash and refunds and insuring claims are billed timely and appropriately. This position is also responsible for all Hospice Revenue Cycle functions.
The WellStar Medical Group (WMG) is a multi-specialty group of approximately 1200 employed providers, covering over 80 specialties of service across over 300 locations. The Executive Director is responsible for developing and implementing sound policies and procedures across all offices to ensure adherence to federal/state regulations and uphold Wellstar’s mission and values to promote high levels of patient satisfaction
This leader completes and/or directs complex data analysis and makes independent decisions within the scope of responsibility through a shared vision driven by the Assistant Vice President of Revenue Cycle and WMG senior leadership. He/she interacts with senior leadership, physicians, other directors, managers and all members of the Revenue Cycle within WellStar Health System, including leaders of health information management, medical staff services, managed care, corporate compliance, accounting and medical group management. The Executive Director may also work with external contacts including insurance companies, state and federal agencies, auditors, and vendors.
Required Minimum Education: Bachelor’s Degreerequired. Master’s Degreepreferred. Required Minimum Licensure/Certification: n/a Required Minimum Experience:
12 years experience in healthcare, including 8 years of accounts receivables experience is required. 7-10 years in revenue cycle, business office or other relevant management role required. Demonstrated experience in financial management 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 needs and increasing volumes. Self-directed, independent thinker. 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 and situational assessment skills and with proven track record in building and developing high performing teams. Strong analytical skills and adept in interpreting strategic vision into an operational model. Ability to align departmental goals around the system’s strategic goals.
Job Id: MG-1156138