Job Number:

32551

Location:

Phoebe North Campus

Street Address:

2000 Palmyra Rd

City, State:

Albany, Georgia

Zip Code:

31701

Department:

PPG CBO

Shift:

Job Type:

Full time

Posted Date:

2025-10-13

Job Description Summary:

Providing leadership and overseeing the daily operations of the Credit Resolution function for Phoebe Provider Group. Functions under the responsibility of Credit Resolution include resolving refund requests and credit balances in all Phoebe Provider Group's financial systems by reviewing the accounts, remittance advice, the common working file, coordination of benefits, and working with third-party payors and patients to determine and perform the correct course of action on the account. Compiling and submitting quarterly, annual, etc. governmental, managed care, and other payer credit balance reports. These activities shall be performed in a timely and accurate manner. The Credit Resolution Manager reports to the Director of CBO.

Description:

Job Summary
Providing leadership and overseeing the daily operations of the Credit Resolution function for Phoebe Provider Group. Functions under the responsibility of Credit Resolution include resolving refund requests and credit balances in all Phoebe Provider Group's financial systems by reviewing the accounts, remittance advice, the common working file, coordination of benefits, and working with third-party payors and patients to determine and perform the correct course of action on the account. Compiling and submitting quarterly, annual, etc. governmental, managed care, and other payer credit balance reports. These activities shall be performed in a timely and accurate manner. The Credit Resolution Manager reports to the Director of CBO.

Qualifications
Bachelor’s degree in Healthcare, Business, Finance, Information Systems, or a related field.

Work Experience
5 or more years of Financial Operations and/or Information Systems experience preferably within the Revenue Cycle functional area in the Healthcare Industry. Required
3 or more years management/supervisory experience. Required
7 or more years related Revenue Cycle healthcare experience, preferably within the Credit Resolution function. Preferred
Prior Athena or Meditech experience. Preferred

Licenses and Certifications
N/A

Essential Functions
Combines ethical judgement with technical skill within the policy and legal guidelines of the institution; understands the legal, social, economic, and political forces that influence the health care system.

Practices and maintains ethics relating to standards of practice and the hospital mission.

Displays problem solving ability, initiative, reasoning ability, decision making techniques, and appropriate use of resources.

Documents and submits required information and data in a timely fashion.

Clearly and accurately documents designated processes, policies, products, service offerings, etc.

Ensures that documentation is tailored to expected readers / users.

Uses correct terminology.

Conforms to required style and format.

Providing leadership and overseeing the daily operations of the Credit Resolution function for Phoebe Provider Group.

Support, oversee, and manage the performance and productivity of the team as it relates to credit resolution activities and pre-defined goals/targets while providing continual feedback and guidance to the team.

Oversee credit resolution activities to ensure they are performed on the appropriate hospital accounts and are reflected and accounted for in the system, accurately and timely at month's end, or within the appropriate timeline.

Strive to have no backlog and meet credit resolution goals by the end of each week/month.

Monitor credit balance and refund work queues to ensure accurate and timely completion of credit and refund processing.

Compliance with all-payer reporting requirements.

Research trends and identify root causes of credit balances in the system. Make recommendations and develop plans on how to address.

Develop and maintain “super user” capabilities in EHR applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department.

Interviews, hires, and trains employees; plans, assigns and directs workflow, appraises employee performance; addresses complaints and resolves problems; and proactively manages production and quality control efforts

Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example, and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities.

Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed.

Complete annual performance reviews for employees and provide timely feedback to employees and address performance/quality and training issues as appropriate.

Develop and revise department policies and procedures as required.

Deliver a positive patient experience.

Liaise appropriately with peers across the system.

Complete disciplinary action as required.

Adhere to Phoebe Provider Group organizational policies and procedures for relevant locations and job scope.

Perform any special assignments as requested.

Perform any special assignments as requested.

Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed.

Monitors, verifies, and reconciles expenditures of budgeted funds, compiles information reflecting expenditures, and develops cost-comparisons.

Identify cost savings within the operation.

Participates in developing, reviewing, and revising policies and procedures.

Follows up with appropriate departments to review and discuss coding observations and recommendations in a timely manner.

Communicates findings, conclusions, and recommendations in a clear and professional manner.

Displays problem solving ability, initiative, reasoning ability, decision making techniques, and appropriate use of resources.

Develops sound, logical conclusions based on coding observations.