Account Resolution Specialist - Denville, United States - Prime Healthcare Management Inc

Prime Healthcare Management Inc

Verified Company

Denville, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

Overview:
Prime Healthcare is an award-winning health system headquartered in Ontario, California.

Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually.

It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen 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:
Education and Work Experience

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