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Become An Account Resolution Specialist

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Working As An Account Resolution Specialist

  • Getting Information
  • Interacting With Computers
  • Communicating with Supervisors, Peers, or Subordinates
  • Documenting/Recording Information
  • Communicating with Persons Outside Organization
  • Deal with People

  • Unpleasant/Angry People

  • Mostly Sitting

  • Repetitive

  • $34,440

    Average Salary

What Does An Account Resolution Specialist Do At Tenet Healthcare

* Include the following.
* Others may be assigned._
* Maintains exceptional service and integrity with customers and client accounts through accurate, timely, relevant, and quality work efforts of all inventory assigned to the self pay billing revenue cycle and call center.
* Drives inquiries from customers and clients towards resolution which includes the identification of the appropriate source of payment or assistance program
* Records and maintains complete and accurate documentation of all activity performed on appropriate medium.
* Informs management of operational issues impeding performance or customer satisfaction including but not limited to those impacting the customer, client, or the company
* KNOWLEDGE

What Does An Account Resolution Specialist Do At Lancaster General Health

* Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve denial.
* Provides missing or additional information if necessary, to expedite the resolution of the denied claim.
* Performs all appeals and denial recovery procedures needed to appropriately and accurately resolve denied claims.
* Processes required adjustments to accounts, including charges credits, payment transfers, policy adjustments, etc. in a timely and accurate manner.
* Maintains a thorough knowledge and understanding of all assigned payor contracts and requirements.
* Performs research to ensure current policies, applicable coding and insurance guidelines, regulations and laws are being followed.
* Evaluates processes and procedures and makes practical suggestions/recommendations for improvement or compliance.
* Prepares accurate and timely reports of trends and problems as they are identified.
* Communicates such trends to management in a timely manner.
* Consistently identifies account deficiencies that require follow up and ensures that appropriate actions have occurred.
* Completes work accurately and timely with appropriate documentation.
* Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, and achieve leading practice levels of performance.
* Consistently meets productivity and quality standards established by management, recommending new approaches for enhancing performance and productivity when appropriate.
* Keeps Supervisor/Manager informed of any problems or issues.
* SECONDARY FUNCTIONS:** **The following duties are considered secondary to the primary duties listed above:
* Provides timely billing and follow-up of assigned inventory for the purpose of expediting timely account resolution.
* Updates patient accounts to reflect any changes made to relevant information.
* Contacts payers, employers, customers, attorneys, etc. in an effort to expedite the payment of accounts.
* Processes and follows special accounts for resolution.
* Assists with any special projects as assigned.
* Other duties assigned

What Does An Account Resolution Specialist Do At Mercy

* Commercial Member Issues
* Prioritize requests
* Provide ISS with Member Issue Form and request completion from team
* Record issues and root cause on Member Issues Log
* Communicate resolution to Members
* Internal Activities
* Work with Sourcing to see if corrective action is part of existing SOPs/training
* Develop/Enhance Work Instructions, SOPs
* Train Personnel on new SOPs and Work Instructions
* Price Discrepancy Resolution
* Prioritize requests
* Coordinate the CSC and GHX price discrepancy files with Purchasing
* Provide ISS with Price Discrepancy Form and request completion from team
* Record issues and root cause on the Price Discrepancy Log
* Communicate resolution to Item Content and Purchasing
* The Data Quality Coordinator will perform all duties and responsibilities in a manner consistent with maximizing service and quality, minimizing costs and integrating individual department goals with ROi objectives.
* The Data Quality Coordinator performs duties and responsibilities in a manner consistent with our mission, values, and ROi Service Standards.
* CORE COMPETENCIES:
* Improving Processes: Brings creative ideas to the workplace; demonstrates good judgment about which creative ideas will work
* Customer Support & Consulting: Able to relate the company’s products and services to assist in developing strategies that are customer-centric.
* Tools & Technology: Incorporate the use of technology into daily work life to improve own efficiency.
* Negotiating and Contracting: Finds common ground to accommodate the conflicting needs and wants of different stakeholders.
* Managing Projects: Effectively leads project teams to achieve goals and provides deliverables.
* Optimize Relationships: Seeks to understand others by noticing and responding to nonverbal behavior.
* As part of the ROi ISS Operations Team, the Member Account Resolution Specialist works directly with ISS Executive Directors and Managers within the Group Purchasing Organization (GPO) as well as with the Contract Administration Team, Vendors and ROi members.
* Success in this role is achieved in large part through quality, productivity and customer satisfaction

What Does An Account Resolution Specialist Do At Tenet Healthcare

* Include the following.
* Others may be assigned._
* Advises and assists staff with problem accounts including analytical and technical support
* Performs quality reviews as assigned by management
* Responsible for work list of assigned accounts and tasks
* Assist in coaching existing staff by building or enhancing individual skills or deficiencies.
* Provide one on one coaching or follow up training to staff as needed
* Handle escalated calls for CFC and return phone calls timely
* Identifies and communicates department and staff deficiencies to management for optimal resolution
* Responsible for working directly with staff and Perot on system related issues and/or workflow issues
* Assists in interview process and completes/submits new hire paperwork
* Responsible for submitting various monthly reports
* Other duties as assigned
* KNOWLEDGE

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How To Become An Account Resolution Specialist

Collectors usually must have a high school diploma. A few months of on-the-job training is common.

Education

Most bill and account collectors are required to have a high school diploma, although some employers prefer applicants who have taken some college courses. Communication, accounting, and basic computer courses are examples of classes that are helpful for entering this occupation.

Training

Collectors usually get 1 to 3 months of on-the-job training after being hired. Training includes learning the company’s policies and computer software and learning the laws for debt collection in the Fair Debt Collection Practices Act, as well as their state’s debt-collection regulations. Collectors also may be trained in negotiation techniques.

Important Qualities

Listening skills. Collectors must pay attention to what debtors say when trying to negotiate a repayment plan. Learning the particular situation of the debtors and how they fell into debt can help collectors suggest solutions.

Negotiating skills. The main aspects of a collector’s job are reconciling the differences between two parties (the debtor and the creditor) and offering a solution that is acceptable to both parties.

Speaking skills. Collectors must be able to speak to debtors to explain their choices and ensure that they fully understand what is being said.

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Account Resolution Specialist jobs

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Top Skills for An Account Resolution Specialist

QualityCustomerServiceAccountResolutionFinancialStatusDelinquentAccountsPaymentArrangementsDebtRepaymentOutboundCallsInsuranceCompaniesFdcpaPaymentPlansInboundCallsPastDueAccountsFollow-UpCallsPatientAccountsCustomerAccountsAccountInformationMedicaidMedicalInsuranceClaimsAccountBalancesBillingIssues

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Top Account Resolution Specialist Skills

  1. Quality Customer Service
  2. Account Resolution
  3. Financial Status
You can check out examples of real life uses of top skills on resumes here:
  • Provide quality customer service including bill maintenance and collection, payments, delivery information, and new product information.
  • Prepare account reviews and make periodic conference calls with Executive personnel to review account resolution issues.
  • Recorded information regarding financial status of client and status of collectionefforts.
  • Locate and notify clients/debtors of delinquent accounts by telephone, or in order to solicit payment.
  • Requested release of card for gas purchases once payment arrangements were made.

Top Account Resolution Specialist Employers

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