Account Resolution Specialist
About The Position
Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen 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 Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.
Requirements
- Minimum of four years hospital managed care/commercial collector experience required.
- Knowledge of contract interpretation
- Familiar with hospital billing requirements
Nice To Haves
- Bachelor’s degree or equivalent work experience preferred
Responsibilities
- Responsible for the timely follow-up of Managed Care/Commercial accounts.
- Communicates clearly and efficiently by phone with health plans.
- Maintains productivity standards and reports.
- Responsible to obtain State collection guidelines if applicable.
- Reviews managed care contracts.
Benefits
- Prime Healthcare Management Inc offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.
- Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.
- A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.00 to $27.83.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
