Account Resolution Specialist
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At a glance
Job overview
Prime Healthcare is hiring an Account Resolution Specialist. The Specialist, Account Resolution is responsible for the timely follow-up of Managed Care/Commercial accounts. This role involves communicating with health plans, maintaining productivity standards, and reviewing managed care contracts. The specialist will also be responsible for obtaining State collection guidelines if applicable.
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. Preferred (not required): Communicate By Phone and Maintain Productivity Standards.
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
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Minimum of four years hospital managed care/commercial collector experience required.
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Bachelor’s degree or equivalent work experience preferred
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Knowledge of contract interpretation
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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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FacilityPrime Healthcare Management Inc
LocationUS-NJ-Denville
ID2026-269960
CategoryBusiness Professional
Position TypeFull Time
ShiftDays
Job TypeNon-Exempt
MinUSD $17.00/Hr.
MaxUSD $27.83/Hr.
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