- Paid time off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision coverage
- Tuition reimbursement
- Many more voluntary benefit options
-
Account Resolution Specialist
2 days ago
Prime Healthcare Management Inc Lynwood, United StatesOverview: · **Join an award-winning team of dedicated professionals** committed to our core values of **quality**, **compassion** and **community** · **Why Prime Healthcare?** St. Francis Medical Center**, a member of Prime Healthcare, offers incredible **opportunities to expand ...
-
Resolution Specialist
2 weeks ago
Taxrise Irvine, United States**INTRO TO TAXRISE**: · At TaxRise, our mission is simple yet impactful: to revolutionize the way taxpayers navigate their tax challenges. We believe in the power of lifting others up, and that's the driving force behind everything we do. · When you join us, you're not just becom ...
-
Account Resolution Specialist
1 week ago
Mission Regional Medical Center Lynwood, United StatesOverview · St. Francis Medical Center is one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcare services for the 700,000 adults and 300,000 children who count on the hospital for high quality ...
-
Account Resolution Specialist
3 weeks ago
Prime Healthcare Management Inc Lynwood, United StatesOverview: · St. Francis Medical Center is one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcare services for the 700,000 adults and 300,000 children who count on the hospital for high qualit ...
-
Grievance Resolution Specialist
1 day ago
Sumeru Inc Orange, United States**Client: CalOptima Health** · **Job Title: Grievance Resolution Specialist** · **Duration: 06 Months** · **Start Date: ASAP** · **Location: 505 City Parkway West, CA (Onsite)** · **Position Type: Contract** · **Interview Type: In Person/Web Interview** · **Ceipal ID: CAL_GAN531_ ...
-
Grievance Resolution Specialist
1 day ago
Infoway Solutions LLC Orange, United States**Job Summary** · The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process and responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims proce ...
-
Account Resolution Specialist
3 weeks ago
Prime Healthcare Lynwood, United StatesSt. Francis Medical Center is one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcare services for the 700,000 adults and 300,000 children who count on the hospita Specialist, Healthcare, Accou ...
-
Tax Resolution Sales Specialist
3 weeks ago
Fresh Tax Solutions Santa Ana, United States**Join Our Team as a Tax Resolution Sales Specialist** · **About Us**: · At Fresh Tax, we're not just a tax resolution firm - we're a dynamic team committed to excellence and integrity. Recognized as a finalist for the Better Business Bureau and named a Top Workplace in Orange Co ...
-
Resolution Specialist
3 weeks ago
TaxRise Irvine, United StatesJob TypeFull-timeDescriptionINTRO TO TAXRISE:At TaxRise, our mission is simple yet impactful: to revolutionize the way taxpayers navigate their tax challenges. We believe in the power of lifting others up, and that's the driving force behind everything we do.When you join us, you ...
-
Resolution Specialist
4 weeks ago
TaxRise Irvine, United StatesJob Type · Full-time · Description · INTRO TO TAXRISE: · At TaxRise, our mission is simple yet impactful: to revolutionize the way taxpayers navigate their tax challenges. We believe in the power of lifting others up, and that's the driving force behind everything we do. · W ...
-
Resolution Specialist
3 weeks ago
TaxRise Irvine, United StatesJob Type · Full-time · Description · INTRO TO TAXRISE: · At TaxRise, our mission is simple yet impactful: to revolutionize the way taxpayers navigate their tax challenges. We believe in the power of lifting others up, and that's the driving force behind everything we do. · W ...
-
Asset Resolution Specialist
3 weeks ago
East West Bank Los Angeles, United StatesIntroduction: · Since 1973, East West Bank has served as a pathway to success. With over 120 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and communi ...
-
Asset Resolution Specialist
3 weeks ago
East West Bank Los Angeles, United StatesIntroduction:Since 1973, East West Bank has served as a pathway to success. With over 120 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and community ...
-
Research & Resolution Specialist
1 week ago
Aveanna Seal Beach, United StatesResearch & Resolution Specialist · ApplyRefer a FriendBack · Job Details · Requisition #: · 195586 · Location: · Seal Beach, CA 90740 · Category: · Medical Billing/Collections · Salary: · $ $21.00 per hour · Position Details · Position Overview · The position of Research & Resolu ...
-
Grievance Resolution Specialist
1 day ago
Equiliem Orange, United StatesClient Summary: Our client is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate le ...
-
Research & Resolution Specialist
1 day ago
Aveanna Seal Beach, United StatesResearch & Resolution Specialist · ApplyRefer a FriendBack · Job Details · Requisition #: · 195586 · Location: · Seal Beach, CA 90740 · Category: · Medical Billing/Collections · Salary: · $ $21.00 per hour · Position Details · Position Overview · The position of Rese ...
-
Case Resolution Specialist, ELR
3 weeks ago
Human Resources Los Angeles, United StatesThe Case Resolution Specialist, Employee & Labor Relations (ELR) provides impartial consultation, conflict resolution, and problem solving in response to workplace complaints from various campus stakeholders. Conducts inquiries, analysis, and case resolution, and assists in the d ...
-
Claims Resolution Specialist
1 week ago
The Judge Group Inc. Orange, United StatesLocation: Orange, CA · Salary: $24.00 USD Hourly - $33.00 USD Hourly · Description: · Judge Healthcare is currently seeking Claims Resolution Specialist in Orange, CA · Contract: 6+ months · Hours: Monday-Friday, business hours · Location: On-site (Orange, CA) · The Claims ...
-
Claims Resolution Specialist
1 day ago
Cogent Infotech Corporation Orange, United StatesJob Description · Job DescriptionDescription : · The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client's providers. The inc ...
-
Grievance Resolution Specialist
1 day ago
Cogent Infotech Corporation Orange, United StatesJob Description · Job DescriptionJob title: Grievance Resolution Specialist · Location: Orange CA 92868 · Duration: 06 months · Job Summary/ Essential Job Functions: · The client is seeking a highly motivated and experienced - Grievance Resolution Specialist to join our team. The ...
Account Resolution Specialist - Lynwood, United States - Prime Healthcare Management Inc
Description
Overview:
St. Francis Medical Center is one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcare services for the 700,000 adults and 300,000 children who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care.? In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Certified Primary Stroke Center, Approved STEMI Receiving Center for Los Angeles County and designated Baby-Friendly healthcare facility by Baby-Friendly USA. Please visit more information.
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community
Why Prime Healthcare? St. Francis Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
St. Francis Medical Center 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:
Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:
Privacy Notice for California Applicants:
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.
#LI-BF3
Qualifications:EDUCATION, EXPERIENCE, TRAINING
1. Minimum of four years hospital managed care/commercial collector experience required.
2. Bachelors degree or equivalent work experience preferred
3. Knowledge of contract interpretation
4. Familiar with hospital billing requirements
Prime Healthcare 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 $16.00 to $27.83. 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.