Account Resolution Specialist

Prime Healthcare Services • Garden City, MI

403d

About The Position

The Specialist, Account Resolution 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, effective communication with health plans, and adherence to productivity standards. The role also involves reviewing managed care contracts and obtaining state collection guidelines when necessary.

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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree
• Number of Employees: 251-500 employees