Account Resolution Specialist

Prime Healthcare

North Las Vegas, NVFull-timeSeen 4w agoSeen in employer's feed 3 days ago

North Las Vegas, NVFull-timeNo compensation foundSeen 4w agoSeen in employer's feed 3 days ago

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At a glance

Compensation

No compensation found

Location

North Las Vegas, NV

Schedule

Full-time

Work Authorization

Not specified

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Job overview

At North Vista Hospital, a 177‑bed accredited facility in North Las Vegas, the Account Resolution Specialist leads timely follow‑up of managed‑care and commercial accounts, communicates with health plans by phone, maintains productivity standards and reports, obtains state collection guidelines, and reviews managed‑care contracts.

Skills & qualifications

RequiredNice to have

Skills

Managed Care CollectionContract InterpretationHospital BillingCommunication

Qualifications

Four Years Hospital Managed Care/Commercial Collector ExperienceBachelor's Degree or Equivalent Work ExperienceContract Interpretation KnowledgeHospital Billing Requirements Familiarity

Full job description

Overview

At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to join its award-winning team!

North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visitwww.northvistahospital.com.

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 and Work Experience

Minimum of four years hospital managed care/commercial collector experience required.
Bachelors degree or equivalent work experience preferred
Knowledge of contract interpretation
Familiar with hospital billing requirements.

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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FacilityNorth Vista Hospital

LocationUS-NV-North Las Vegas

ID2026-279248

CategoryBusiness Professional

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt