Account Resolution Specialist

Prime Healthcare

Denville, NJFull-time$17–27.83/hrSeen 1 day agoSeen in employer's feed 1 day ago

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At a glance

Compensation

$17–27.83/hr

Location

Denville, NJ

Schedule

Full-time

Work Authorization

Not specified

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Job overview

Prime Healthcare is seeking a Specialist, Account Resolution to follow up on Managed Care and Commercial accounts. The role communicates with health plans by phone, maintains productivity standards and reports, obtains state collection guidelines when applicable, and reviews managed care contracts. The position requires at least four years of hospital managed care or commercial collector experience; a bachelor’s degree or equivalent work experience is preferred.

Skills & qualifications

RequiredNice to have

Skills

Contract InterpretationHospital Billing

Qualifications

4+ Years Hospital Managed Care or Commercial Collector ExperienceBachelor's Degree or Equivalent Work Experience

Benefits

Paid Time Off

401(k) Match

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Assistance

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!

#LI-BM2

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

Minimum of four years hospital managed care/commercial collector experience required.
Bachelor’s degree or equivalent work experience preferred
Knowledge of contract interpretation
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

ID2026-284887

CategoryBusiness Professional

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt

MinUSD $17.00/Hr.