Account Resolution Analyst

Prime Healthcare Management Inc

Garden City, MIFull-timePosted 1 day agoStill listed today

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At a glance

Compensation
No compensation found
Location
Garden City, MI
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Analyst, Account Resolution follows up on managed care and commercial accounts, communicating with health plans by phone. The role maintains productivity standards and reports, obtains state collection guidelines when applicable, and reviews managed care contracts. Prime Healthcare is a health system operating hospitals and outpatient locations and is seeking members for its corporate team.

Skills & qualifications

RequiredNice to have

Skills

Hospital Managed Care CollectionCommercial Account CollectionContract InterpretationHospital Billing

Qualifications

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

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 Analyst, Account Resolution is 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 two years hospital managed care/commercial collector experience preferred

  2. Bachelor’s degree or equivalent work experience preferred

  3. Knowledge of contract interpretation

  4. 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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