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Prime Healthcare Servicesposted 4 months ago
Full-time - Mid Level
Garden City, MI
251-500 employees
Ambulatory Health Care Services
About the position
The Specialist, Account Resolution plays a crucial role in managing and resolving accounts related to Managed Care and Commercial insurance. This position is responsible for timely follow-up on accounts, effective communication with health plans, and ensuring compliance with state collection guidelines. The role requires a strong understanding of managed care contracts and hospital billing requirements, contributing to the overall efficiency and effectiveness of the hospital's financial operations.
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.
