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Account Resolution Specialist

Remote:

Hybrid

Contract:

Full time

Work from:

Garden City (US)

Offer summary

Qualifications:

Minimum of four years of managed care experience, Bachelor’s degree or equivalent work experience preferred, Knowledge of contract interpretation, Familiar with hospital billing requirements.

Key responsabilities:

Lead follow-up of Managed Care/Commercial accounts
Communicate efficiently with health plans
Maintain productivity standards and reports
Obtain state collection guidelines if applicable
Review managed care contracts

Prime Healthcare XLarge http://www.primehealthcare.com/

10001 Employees

See more Prime Healthcare offers

Job description

Overview:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities:

The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.

Qualifications:

EDUCATION, EXPERIENCE, TRAINING

1. Minimum of four years hospital managed care/commercial collector experience required.

2. Bachelor’s degree or equivalent work experience preferred

3. Knowledge of contract interpretation

4. Familiar with hospital billing requirements