Account Resolution Specialist

North Vista Hospital; North Las Vegas (NV); On-site; USD 52,000 - 68,000; Full time

Job summary

North Vista Hospital in North Las Vegas, Nevada, is seeking a Specialist, Account Resolution to lead the timely follow-up of Managed Care and Commercial accounts. You will communicate by phone with health plans, maintain productivity standards, and ensure compliance with state collection guidelines where applicable.

The role involves reviewing managed care contracts and supporting accurate billing processes.

Qualifications

• 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 timely follow-up of Managed Care/Commercial accounts.
• Communicate clearly by phone with health plans.
• Maintain productivity standards and reporting.
• Apply state collection guidelines as applicable.
• Review managed care contracts.

Education

Bachelor's degree or equivalent work experience

Job description

Overview

At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to join its award-winning team!

North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visit www.northvistahospital.com

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

Education and Work Experience

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