Account Resolution Analyst

Ascension Medical Group; Garden City (MI); Sur place; USD 45 000 - 65 000; Plein temps

Résumé du poste

Prime Healthcare is seeking an Analyst, Account Resolution to follow up on Managed Care/Commercial accounts. You will communicate by phone with health plans, maintain productivity, and report on performance. The role involves understanding state collection guidelines and reviewing managed care contracts.

This is a full-time position with day shift responsibilities. Ideal candidates have at least two years of hospital managed care collection experience and a bachelor’s degree or equivalent work

Qualifications

• Minimum of two years hospital managed care/commercial collector experience preferred.
• Bachelor’s degree or equivalent work experience preferred.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.

Responsabilités

• The Analyst, Account Resolution is 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.

Formation

Bachelor’s degree or equivalent

Description du poste

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 Analyst, Account Resolution is 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

EDUCATION, EXPERIENCE, TRAINING

1. Minimum of two years hospital managed care/commercial collector experience preferred

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

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf