Mission Regional Medical centerposted 14 days ago
- Mid Level
Denville, NJ
10,001+ employees
Hospitals
About the position
Prime Healthcare is actively seeking a Specialist, Account Resolution to join our corporate team. This position is crucial for the timely follow-up of Managed Care and Commercial accounts. The Specialist will be responsible for clear and efficient communication with health plans via phone, maintaining productivity standards, and reporting. Additionally, the role involves obtaining State collection guidelines when applicable and reviewing managed care contracts.
Responsibilities
- Lead the timely follow-up of Managed Care/Commercial accounts.
- Communicate clearly and efficiently by phone with health plans.
- Maintain productivity standards and reports.
- Obtain State collection guidelines if applicable.
- Review managed care contracts.
Requirements
- 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.
