Account Resolution Specialist

Prime Healthcare•Garden City, MI

About The Position

Prime Healthcare is seeking an Account Resolution Specialist for its corporate team. The Specialist, Account Resolution is the lead responsible for timely follow-up of Managed Care/Commercial accounts. The role communicates clearly and efficiently by phone with health plans, 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 by phone with health plans.
  • Maintain productivity standards and reports.
  • Obtain State collection guidelines, if applicable.
  • Review managed care contracts.
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