Garden City Hospitalposted 4 months ago
Full-time - Mid Level
Garden City, MI
251-500 employees
Hospitals
About the position
The Account Resolution Specialist at Garden City Hospital plays a crucial role in managing and resolving accounts related to Managed Care and Commercial insurance. This position is responsible for ensuring timely follow-up on accounts, maintaining communication with health plans, and adhering to productivity standards. The specialist will also review managed care contracts and ensure compliance with state collection guidelines, contributing to the hospital's commitment to quality healthcare and community service.
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.
