account resolution analyst

Tampa General Hospital

<div><div><b>Account Resolution Specialist - USFTGP RCO</b> <b>-</b> <b>(</b><b>260001QB</b><b>)</b><div>
</div></div><div><b>
Description</b><div></div><div><div><br>
Under the direction of the Assistant Director Patient Accounts, Supervisor and Lead Account Resolution Team, performs functions involved in the billing and collection of professional receivables, customer service duties, and the processing of accounts. Is consistent, dependable and accurate in carrying out responsibilities to a successful conclusion. Clearly understands purpose, objectives, practices and procedures of the department. Performs other tasks that may be assigned by the Lead and Supervisor. Interacts with patients, insurance companies, various government agencies, physicians, and departments to address outstanding patient account balances.</div></div><div></div><div><br>
</div></div><div><b>
Qualifications</b><div></div><p><b><br>
Required:</b></p><p>
High School Diploma or GED</p><p><b>
Work Experience and Additional Information</b></p><p>
Minimum of two (2) year billing and/or collection experience working in a medical setting.</p><p><b>
Technical Knowledge, Skills, and Abilities</b></p><div><p><div><div><div><div><ul><li><div>
Able to have an effective exchange with Communication Skills including de-escalations.</div></li></ul></div></div></div><div><div><div><ul><li><div><br>
Able to time manage role effectively.</div></li></ul></div></div></div><div><div><div><ul><li><div><br>
Able to be adaptable based on work volumes.</div></li></ul></div></div></div><div><div><div><ul><li><div><br>
Able to create successful collections transactions.</div></li></ul></div></div></div><div><div><div><ul><li><div><br>
Able to present positive attitude in communication with internal and external clients.</div></li></ul></div></div></div></div></p></div><div></div><div><br>
</div></div><div><b>
Primary Location</b><b>:</b> Tampa</div><div><b>
Work Locations</b><b>:</b> USF Faculty Office Building 13220 USF Laurel Dr Tampa 33612</div><div><b>
Eligible for Remote Work</b><b>:</b> Hybrid Remote</div><div><b>
Job</b><b>:</b> Patient Financial Services</div><div><b>
Organization</b><b>:</b> Academic Medical Group Inc</div><div><b>
Schedule</b><b>:</b> Full-time</div><div><b>
Scheduled Days</b><b>:</b> Monday, Tuesday, Wednesday, Thursday, Friday</div><div><b>
Shift</b><b>:</b> Day Job</div><div><b>
Job Type</b><b>:</b> Hybrid Remote</div><div><b>
Shift Hours</b><b>:</b> 730am-4pm</div><div><b>
Minimum Salary</b><b>:</b> 35,110.40</div><div><b>
Job Posting</b><b>:</b> May 8, 2026, 1:39:12 PM</div></div>

Account Resolution Specialist - USFTGP RCO

Wellstar Health System

<div><p>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 what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.</p><p></p><p><b>
Work Shift</b></p>
Day (United States of America)<p></p><h2 class="jobSectionHeader"><b>
Job Summary:</b></h2>
Under the direction of the Manager of Account Resolution, the Account Resolution Representative II assists with planning and coordinating HB Accounts Resolution follow up activities for an account receivable portfolio of ~ approximately $375M-$500M, including, but not limited to collaboratively working with their Team Lead, Manager, and assisting with training, employees, as circumstances dictate. The Account Resolution Representative II will assist with the development of strategies for establishing a continuous improvement work environment, ensure eligible accounts are reviewed, appealed, escalated or adjusted within the designated payer time frames and are documented appropriately in the patient accounting system. As well as providing educational support in a variety of departmental and individual settings. The role requires data analysis, trending analysis, and educational capabilities regarding payor and revenue cycle business related processes. This role requires a versatile and well developed actionable understanding with demonstrated knowledge of billing, collections, denial management, contractual provision interpretation and provider / payor appeal requirements. In addition to a strong understanding and capability of common business technologies such as MS Office, Excel, PowerPoint, Word and Outlook to perform and communicate the assessment and analysis of multiple acute care and LTAC facility accounts receivable trending and findings is needed. The core role focus of this position is to ensure that accounts are brought final resolution through reimbursement for services and to mitigate financial losses through solid operational execution, development and conformity to defined Policies and Procedures. The Account Resolution Representative II must possess the ability to assist with developing and documenting action plans for quick resource deployment, communicate timely with leadership to understand the specific reasons for payment delays. The role requires the ability to effectively and efficiently communicate both orally and in writing to leadership, multi-task, meet deadlines, adhere to organizational policies and procedures. In addition, the Account Resolution Representative II will assist with additional Revenue Cycle related tasks and duties as assigned.
<h2 class="jobSectionHeader"><b>Core Responsibilities and Essential Functions:</b></h2>
Maintain a working knowledge and perform assigned duties in compliance of all-departmental billing and follow-up policies, procedures, processes and functions. Respond appropriately to inquiries from 3rd parties, insurance providers and patients regarding accounts, collection issues and hospital policies, to insure a minimal Accounts Receivables inventory. * Collect and resolve payments from insurance companies by working with assigned payers and utilizing established policies and procedures. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Successfully appeal denied accounts and avoid excessive deferred accounts * Demonstrate effective collaboration skills, and support to the follow-Up staff in the performance of their daily functions by assisting with daily planning, organizing, prioritizing and management of workflow, as instructed by leadership. Review account receivables while evaluating trends and tracking recovery efforts by utilizing various departmental tools optimizing individual workflow and process to reduce AR growth, quickly propose solutions to reduce trends, resolve issues, etc. Consistently meet the productivity and quality standards. * Assist staff by providing direction and guidance, creating a team environment through training, recognition, and education which produces optimum work habits and job performance * Assist with setting obtainable short-term goals, maintaining expected level of productivity and quality as defined by policy, or equivalent industry standards when not specifically defined by policy, as well as assisting with performance studies to improve productivity, streamline operations and reduce error rates. Provide assistance with staff training and oversight to ensure that implemented policies and procedures are being followed. Meet deadlines established through interaction with the Manager of Accounts Resolution or other senior leadership. * Review and improve work procedures to ensure that the most productive and efficient methods are used * Monitor progress for assigned workflow on a daily basis, utilizing quantitative technology and tools and providing feedback to leadership regarding success and obstacles to claim resolution * Provide assistance with departmental projects and presentations, as needed. * Maintain and reflect a positive team attitude, regarding any special projects or polices that are implemented by the Revenue Cycle or other senior leadership. * Resolve complaints and misunderstandings in a timely and appropriate manner while demonstrating the ability to tactfully handle difficult situations through an approach that reflects consistency and fairness. * Must maintain a proficiency in the application of, key automated systems that include: Epic, Emdeon Claims Master. * Act as an internal resource; resolving problems and providing expertise to other hospital departments * Review write-off requests, miscellaneous cash adjustments, and submit to manager for approval * Maintain Epic assigned workqueues to ensure timely (7 days or as specified) resolution of review requests. Become cross-trained and fill in for other staff as assigned. * Maintain a working knowledge of WellStar policies and procedures * Maintain membership and active participation in the HFMA professional organization or equivalent, to participate in workshops and classes ensuring a competency level beneficial to the department, as well as to meet minimum requirements in technology advances/applications. * Administrative * Maintain professional relations and convey relevant information to other members of the team within the facility and any applicable vendors Must actively participate and support the efforts of the Revenue Cycle Task Force, Monthly Denials Task Force, Monthly Compliance Coding Partnership as well as other committees as assigned. * Maintain ongoing communication with other PFS and Revenue Cycle departments, keeping the Manager of Accounts Resolution aware of more complex problems and opportunities while maintaining courteous, cooperative, flexible and positive working relationships with all levels of management, employees, physicians, guests and the general public. * Assist with reviewing denial reports and determining significant problems causing rejections and denials; communicate with the leadership of Accounts Resolution the findings and proposes denial prevention solutions * Maintain a working knowledge of relevant legal and compliance issues, including but not limited to HIPAA privacy, Fair Debt &amp; Collection Act guidelines, Medicare &amp; Medicaid regulations and reimbursement methodology, as well as state and federal laws. * Maintain effective communications with legal collection groups, the WellStar Compliance department and other agencies, regarding new and relevant issues must maintain appropriate knowledge and skill sets to read and interpret various regulatory requirements that affect follow-up functions. Maintain appropriate documentation to assure an audit trail of compliance-related activities. * Communicate with and obtain assistance from various type insurance, third party collection, governmental and regulatory agency representatives, in the interpretation of critical regulations and the collection/resolution of patient accounts. Assist with the development, processes and efficiency of Insurance Follow-Up and Denial policies &amp; procedures to ensure they are comprehensive in nature and current/updated. * Consistent review of current processes to ensure compliance with policies and procedures. * Assist with establishing controls and review mechanisms for every procedure to ensure that systems and procedures are being followed correctly * Ensure optimal system capabilities by assisting with staff training, documenting system parameters, challenging systems and obtaining feedback from staff/users. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.
<h2 class="jobSectionHeader"><b>Required Minimum Education:</b></h2><ul><li>
High School Diploma General or GED General</li></ul>
<h2 class="jobSectionHeader"><b>Required Minimum License(s) and Certification(s):</b></h2>
All certifications are required upon hire unless otherwise stated.
<h2 class="jobSectionHeader"><b>Additional License(s) and Certification(s):</b></h2>
Certified Revenue Cycle Representative within 180 Days Preferred
<h2 class="jobSectionHeader"><b>Required Minimum Experience:</b></h2>
Minimum 1 year Experience as an Account Follow-up Representative I or a minimum of two (2) years in hospital patient financial services or related area Required and Must have a thorough understanding of Governmental, i.e. Medicare, Medicaid and / or Non-Governmental, i.e. Commercial: healthcare revenue cycle functions, PFS operations, regulations and reimbursement methodology, denials management, payor technical denial appeals and a proven track record of successful performance within the Revenue Cycle Required
<h2 class="jobSectionHeader"><b>Required Minimum Skills:</b></h2>
Strong interpersonal, mathematical, analytical, computer, problem solving and writing skills, with a take charge attitude. Must be comfortable interacting with insurance providers, physicians and leadership. . Must be able to perform a wide variety of tasks that require independent judgment, ingenuity, and initiative. Competent with MS Word, PowerPoint, and MS Excel is required as critical analysis will be conducted using this technology. Ability to: establish a climate to achieve optimal performance levels and maintain a cohesive work team work efficiently under pressure and deal effectively with constant change operate a computer and related applications apply appropriate supervisory, management and leadership techniques in an operational setting work independently and take initiative demonstrate a commitment to continuous learning deal effectively with difficult people and/or difficult situation willingly accept responsibility and/or delegate responsibility set priorities and use good judgment for self and staff<p></p><p>
Join us and discover the support to do more meaningful work&mdash;and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.</p></div><p></p>

Acct Resolution Rep II

Hartford HealthCare

<div><p><b>Location Detail: </b>9 Farm Springs Rd Farmington (10566)</p><p>
Work where <b>every moment</b> matters.<br>
<br>
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut&rsquo;s most comprehensive healthcare network.<br>
<br>
The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.<br>
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.</p><p></p><p><b><br>
Position Summary:</b></p><p>
Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic Fund Transmission (EFT) responses, respond on underpayments or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. These duties include the managing of the day-to-day work queue inflow, dashboard monitoring, weekly aging&rsquo;s, Work in Progress (WIP), account activity assignment, and internal department collaboration with daily productivity and quality standards that are tracked and monitored.</p><p></p><p><br>
Support and perform high level AR &amp; Denial Specialist tasks to improve operations and problem solve by developing solutions after analyzing data. Maintains a high-level understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers. This position is responsible for researching insurance company issues, such as network problems, work comp claims, and a variety of special projects.</p><p></p><p><br>
Keeps abreast of all regulations and standards to ensure compliance with governmental/regulatory agencies or commercial payers. Assists the organization to comply with all federal/state guidelines.</p><p><br>
</p><p>Responsible to ensure high quality, cost-effective products or services are delivered in support of the HHC core values, strategic plan and established Patient Financial Services goals and objectives which is not limited to HHC receiving the appropriate payment.</p><p></p><p><b><br>
Position Responsibilities:</b></p><p><b>
Key Areas of Responsibility</b></p><p>
Functions as a high-level member of the team that is responsible for the timely cash collections of insurance payments for approximately $550+ million in active inventory and $70 million in denials.</p><p>
When a claim is denied;</p><p>
A. Takes appropriate action for payment resolution; documents all activity in accordance with standard work</p><p>
B. Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays. Maximizes insurance reimbursement timely with commercial and governmental payers</p><p>
C. Resolves denials based on contract and/or fee schedule.</p><p>
D. Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write-off.</p><p>
E. Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution; documents all activity in accordance with standard work</p><p>
F. Prepares research and documentation in preparation for meetings with provider reps that will assist in resolution of payer specific issues.</p><p>
G. Works with leadership to identify, trend and address root causes of issues in the AR.</p><p>
H. Improves quality and productivity by identifying opportunities and assisting with workflow changes</p><p>
I. Assists in development of standard work to improve accuracy and understanding of processes.</p><p>
J. Consistently exceeds productivity and quality performance expectations.</p><p>
Effectively and continually communicates with peers, management and customers to facilitate the flow of information. Demonstrates H3W Leadership Behaviors.</p><p>
Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organization&rsquo;s objectives.</p><p>
Assumes responsibility for self-improvement in collaboration with superior.</p><p>
Maintain effective positive customer service, ensuring the needs are met and educating staff on the importance of quality customer service.</p><p>
Provides support for other ad hoc analyses and projects as needed</p><p>
Provide team support during team vacations and unexpected absence</p><p>
Training support for onboarding of new colleagues.</p><p>
Functions as Daily Huddle Leader</p><p>
Performs other duties as assigned</p><p></p><p><b><br>
Working Relationships:</b></p><p><b>
This Job Reports To:</b> AR Follow Up/Denials Supervisor</p><p><b>
If applicable, describe nature of supervision of any External vendors, contractors, affiliate organizations, etc.:</b></p><p>
Assist supervisor with the tracking and monitoring of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed.</p><h3 class="jobSectionHeader"><b><br>
Qualifications</b></h3><br>
<p><b>
Education</b></p><ul><li> Minimum: High school diploma, GED or equivalent</li><li> Preferred: Associate&rsquo;s degree in health care administration, business management or finance.</li></ul><p><b>
Experience</b></p><ul><li> Minimum: 3 years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting and/or banking experience</li><li> Preferred: 4+ years of medical billing and/or accounts receivables experience in a large facility or professional healthcare revenue cycle setting.</li></ul><p><b>
Licensure, Certification, Registration</b></p><ul><li> American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification</li></ul><p><b>
Knowledge, Skills and Ability Requirements</b></p><ul><li> Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred</li><li> Understanding of medical and insurance terminology, facility and professional billing/reimbursement practices.</li><li> Familiar with CPT, revenue codes and ICD10 codes</li><li> Excellent analytical and problem solving skills</li><li> Excellent communication skills both written and verbal and interpersonal skills</li><li> Knowledge of state and federal regulations as they pertain to billing processes and procedures</li><li> Knowledge of insurance claim processing and third party reimbursement</li><li> Knowledge and understanding of negotiated agreements</li><li> Demonstrated leadership in establishing and achieving goals</li><li> Ability to communicate effectively both orally and in writing, strong computer and math skills required</li><li> Skill in problem solving in a variety of settings</li><li> Skill in time management</li><li> Ability to work efficiently under pressure</li><li> Ability to operate a computer and related applications such as Word, Excel, PowerPoint, etc.</li><li> Ability to work independently and take initiative</li><li> Ability to demonstrate a commitment to continuous learning and to operationalize that learning</li><li> Ability to deal effectively with constant changes and be a change agent</li><li> Ability to deal effectively with difficult people and/or difficult situations</li><li> Ability to willingly accept responsibility and/or delegate responsibility</li><li> Ability to set priorities and use good judgment for self and peers</li><li> Ability to exercise independent judgment in unusual or stressful situations</li><li> Ability to establish and maintain effective working relationships</li></ul><p></p><p><b><br>
We take great care of careers.</b></p><p></p><p><br>
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge &ndash; helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is <b>your moment.</b></p></div>

Accts Rec & Denial Spec 2 / PA Third Party Follow Up

World Business Lenders, LLC

<div><p><b>About World Business Lenders </b>(www.wbl.com)</p><p>
World Business Lenders (WBL) provides short-term, real estate&ndash;collateralized commercial loans to small and medium-sized businesses across the United States that do not have access to traditional financing. The company also services its own loan portfolio and those of third parties, with a focus on managing non-performing loan pools and REO.</p><ul><li>
WBL is a U.S.-based company with a fully remote workforce.
</li><li>Working hours are 9:00am&ndash;6:00pm Eastern Time, Monday through Friday.</li><li>
The role requires strong spoken and written English.
</li><li><ul><li>All resumes must be submitted in English.</li></ul></li></ul><br>
<b>
Overview</b><ul><li>
Establish reliable tracking of all Asset Resolution invoices; improve organization and follow-up on current invoices so eligible discounts are not missed; support timely movement of invoices through review, correction, and payment readiness; provide strong operational support for aged invoice matters handled by Cristina; improve visibility into invoice status, blockers, and upcoming payment items; and help create a more consistent, disciplined legal billing workflow between Legal Operations, Finance, and outside counsel.</li></ul><p></p><b>
Job Duties and Responsibilities</b><ul><li>
Manage legal billing workflow for Asset Resolution matters
</li><li>Track invoice status, rejections, corrections, and payment readiness</li><li>
Coordinate with outside counsel, Legal, Finance, and AP
</li><li>Support timely processing of current invoices within discount periods</li><li>
Assist Corporate VP with aged invoice negotiation support and follow-up</li><li>
Maintain accurate reporting, records, and billing trackers.</li></ul><br>
<b>
Requirements</b><p></p><p><b><br>
Main Requirements:</b></p><br>
<ul><li>
Education: Business Administration, Finance, Accounting, Operations, or a related field.</li><li>
Not less than 5 years of experience</li><li>
Experience managing invoice or billing workflows in a structured, high-volume environment
</li><li>Hands-on experience tracking, processing, and resolving invoices (including rejections and corrections)
</li><li>Comfortable coordinating across multiple stakeholders (Legal, Finance, AP, and external counsel/vendors)
</li><li>Strong ability to ensure invoices move through payment cycles on time, including discount deadlines
</li><li>Experience maintaining accurate trackers, records, and status reporting for financial or operational workflows
</li><li>Strong Excel skills and familiarity with workflow tools (e.g., Monday.com or similar systems)
</li><li>Highly organized with strong follow-through on tasks and escalations
</li><li>Able to work in deadline-driven, process-heavy environments with repetitive but detail-critical work
</li><li>Strong communication skills for ongoing follow-ups and coordination across teams</li></ul><p></p><p><b>
Preferred Background / Industry Experience</b></p><ul><li>
Experience in legal billing, legal operations, or law firm billing in a financial services.
</li><li>Candidates coming from law firms, in-house legal departments, vendor management teams, or finance-adjacent operational roles with substantial exposure to outside counsel billing and invoice workflow management will be viewed favorably.
</li><li>Experience handling high-volume invoice tracking, rejected invoice resolution, payment-cycle coordination, discount-period monitoring, and support for aged invoice reconciliation is strongly preferred.</li></ul><p></p><p><b>
Specific Technical Skills Needed</b></p><ul><li>
Strong proficiency in Excel and Monday.com; experience with invoice tracking, billing reports, document management, and workflow systems; ability to maintain accurate records, monitor discount and payment deadlines, and support billing coordination across Legal, Finance, and AP.</li></ul><p></p><p><b>
Specific Soft Skills Needed</b></p><ul><li>
Strong communication</li><li>
Multitasking and Organization</li><li>
Attention to detail and follow-through</li><li>
Professionalism and cross-functional collaboration</li><li>
Time management, and problem-solving.</li></ul><br>
<b>
Benefits</b><br>
<p></p><ul><li>
Enjoy Paid Time Off (PTO) to recharge</li><li>
Salary paid in USD</li><li>
Work comfortably 100% from home</li></ul></div>

Legal Billing & Operations Analyst - Asset Resolution (Türkiye)

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Account Resolution Specialist - USFTGP RCO

Acct Resolution Rep II

Accts Rec & Denial Spec 2 / PA Third Party Follow Up

Legal Billing & Operations Analyst - Asset Resolution (Türkiye)

Legal Billing & Operations Analyst - Asset Resolution (Türkiye)

Legal Billing & Operations Analyst - Asset Resolution (Türkiye)

Legal Billing & Operations Analyst - Asset Resolution (Türkiye)