Account Resolution Analyst

Garden City Hospital; Garden City (MI); Hybrid; USD 45,000 - 60,000; Full time

Job summary

Prime Healthcare is seeking an Analyst, Account Resolution to ensure timely follow-up of managed care and commercial accounts. The role requires clear phone communication with health plans and maintaining productivity benchmarks.

The position also involves obtaining state collection guidelines when applicable and reviewing managed care contracts to ensure compliance and accuracy.

Qualifications

• Minimum of two years hospital managed care/commercial collector experience preferred.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.

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.

Skills

Managed care experience

Contract interpretation

Hospital billing knowledge

Education

Bachelor's degree or equivalent

Job description

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!

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

• 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
  

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