Account Resolution Specialist
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At a glance
Job overview
Prime Healthcare is hiring an Account Resolution Specialist. Prime Healthcare, an award‑winning health system with 54 hospitals and over 360 outpatient locations, seeks an Account Resolution Specialist to lead timely follow‑up of Managed Care and Commercial accounts, communicate with health plans, maintain productivity standards, and review contracts while ensuring compliance with state collection guidelines.
Key focus areas include Lead timely follow‑up of Managed Care/Commercial accounts, Communicate clearly and efficiently by phone with health plans, and Maintain productivity standards and reports.
Successful candidates bring 4+ Years Hospital Managed Care/Commercial Collector Experience and Bachelor's Degree Or Equivalent Work Experience. Important skills include Contract Interpretation and Hospital Billing Requirements.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one 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!
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
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
Pay Transparency Prime Healthcare Management Inc offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.00 to $27.83 per hour. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status Full Time Shift Days Equal Employment Opportunity 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
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