Lead Billing Specialist – Managed Care

Centinela Hospital Medical Center; Denville (NJ); On-site; USD 45,847,000 - 77,366,000; Full time

Benefits offered by this job

401K retirement plan

Medical coverage

Dental coverage

Vision coverage

Tuition reimbursement

Paid time off

Job summary

Prime Healthcare is seeking a Billing Specialist to manage timely follow-up of Managed Care/Commercial accounts and to liaise by phone with health plans. The role requires strong contract interpretation skills and familiarity with hospital billing requirements, with a focus on achieving productivity and accurate reporting.

The position is full-time, with daytime shifts, offering a competitive compensation package and a comprehensive benefits plan including retirement and health coverage.

Qualifications

• Minimum of four 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

• Lead timely follow-up of Managed Care/Commercial accounts.
• Communicate clearly by phone with health plans.
• Maintain productivity standards and reports.
• Obtain State collection guidelines if applicable.
• Review managed care contracts

Skills

Contract interpretation

Education

Bachelor's degree or equivalent work experience

Job description

Prime Healthcare is seeking a Billing Specialist to manage timely follow-up of Managed Care/Commercial accounts and to liaise by phone with health plans. The role requires strong contract interpretation skills and familiarity with hospital billing requirements, with a focus on achieving productivity and accurate reporting.

The position is full-time, with daytime shifts, offering a competitive compensation package and a comprehensive benefits plan including retirement and health coverage.