Account Resolution Specialist
Prime Healthcare•Denville, NJ
About The Position
The Account Resolution Specialist is responsible for timely follow-up of Managed Care/Commercial accounts. The role communicates clearly and efficiently with health plans by phone, maintains productivity standards and reports, obtains state collection guidelines when applicable, and reviews managed care contracts.
Requirements
- At least four years of hospital managed care/commercial collector experience.
- Knowledge of contract interpretation.
- Familiarity with hospital billing requirements.
Nice To Haves
- Bachelor’s degree or equivalent work experience preferred.
Responsibilities
- Follow up on Managed Care/Commercial accounts in a timely manner.
- Communicate clearly and efficiently with health plans by phone.
- Maintain productivity standards and reports.
- Obtain state collection guidelines when applicable.
- Review managed care contracts.
Benefits
- Paid time off
- 401K retirement plan
- Medical coverage
- Dental coverage
- Vision coverage
- Tuition reimbursement
- Voluntary benefit options
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
