Hospital Billing Specialist — Managed Care Lead

Saint Clare's Health; Denville (NJ); On-site; USD 22,000 - 37,000; Full time

Benefits offered by this job

paid time off

a 401K retirement plan

medical, dental, and vision coverage

tuition reimbursement

many more voluntary benefit options

Job summary

Prime Healthcare is seeking a Specialist, Billing to lead timely follow-up of Managed Care/Commercial accounts. You will communicate with health plans by phone, maintain productivity standards, and review contracts to ensure accurate reimbursements.

The role requires a minimum of four years in hospital managed care collection, a bachelor’s degree or equivalent experience, and knowledge of hospital billing requirements.

Qualifications

• Minimum of four years hospital managed care/commercial collector 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 report.
• Review state collection guidelines if applicable.
• Review managed care contracts.

Skills

Managed care collection

Contract interpretation

Hospital billing knowledge

Education

Bachelor's degree or equivalent

Job description

Prime Healthcare is seeking a Specialist, Billing to lead timely follow-up of Managed Care/Commercial accounts. You will communicate with health plans by phone, maintain productivity standards, and review contracts to ensure accurate reimbursements.

The role requires a minimum of four years in hospital managed care collection, a bachelor’s degree or equivalent experience, and knowledge of hospital billing requirements.