Account Resolution Specialist Non-Government
About The Position
Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one 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 Account Resolution Specialist focused is responsible for the timely follow-up of Managed Care and Commercial accounts. Communicates clearly and efficiently by phone with health plans, physician offices, and patients. Maintains productivity and quality standards. Responsible for obtaining State collection guidelines if applicable. Reviews managed care contracts.
Nice To Haves
- Preferred four years hospital managed care/commercial collector experience.
- Knowledge of contract interpretation
- Familiar with hospital billing requirements
Responsibilities
- Responsible for the timely follow-up of Managed Care and Commercial accounts.
- Communicates clearly and efficiently by phone with health plans, physician offices, and patients.
- Maintains productivity and quality standards.
- Responsible for obtaining State collection guidelines if applicable.
- Reviews managed care contracts.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
