Account Resolution Analyst

Centinela Hospital Medical Center; Garden City (MI); On-site; USD 42,000 - 65,000; Full time

Job summary

Prime Healthcare is seeking an Analyst, Account Resolution to perform timely follow-up of Managed Care/Commercial accounts. You will communicate by phone with health plans, maintain productivity standards, and report on progress.

The role requires knowledge of hospital billing requirements and contract interpretation, with a preference for those with two years of hospital managed care experience and a Bachelor's degree or equivalent.

Qualifications

• 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

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

Contract interpretation

Hospital billing knowledge

Education

Bachelor's degree or equivalent work experience

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!

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