Account Resolution Specialist

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!

 

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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.

Qualifications:

1.    Minimum of four years hospital managed care/commercial collector experience required.

2.    Bachelor’s degree or equivalent work experience preferred

3.    Knowledge of contract interpretation

4.    Familiar with hospital billing requirements

Employment Status: Full Time Shift: Days Equal Employment Opportunity: