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Account Resolution Specialist

Prime Healthcare Management Inc

Garden City, MIFull-timeNo compensation foundPosted 1mo agoVerified open 4 days ago
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At a glance

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

Job overview

Prime Healthcare, an award‑winning health system with 54 hospitals and over 360 outpatient locations, is seeking an Account Resolution Specialist to lead timely follow‑up of managed care and commercial accounts, communicate with health plans, maintain productivity standards, obtain state collection guidelines, and review contracts.

Skills & qualifications

RequiredNice to have

Skills

Contract InterpretationHospital Billing RequirementsPhone CommunicationProductivity Standards MaintenanceState Collection Guidelines Knowledge

Qualifications

Four Years Hospital Managed Care/Commercial Collector ExperienceBachelor's Degree or Equivalent Work ExperienceKnowledge of Contract InterpretationFamiliar With Hospital Billing Requirements

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

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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Account Resolution Specialist | Olive Jobs