Lead Managed Care Account Resolution Specialist

Prime Healthcare; Lynwood (CA); Sur place; USD 32 000 - 39 000; Plein temps

Résumé du poste

Prime Healthcare is seeking a Specialist, Account Resolution to lead the timely follow-up of Managed Care/Commercial accounts. You will communicate clearly by phone with health plans and maintain productivity standards while generating reports on progress.

Ideal candidates will have at least four years of hospital managed care/commercial collector experience, a Bachelor’s degree or equivalent, knowledge of contract interpretation, and familiarity with hospital billing requirements.

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

Responsabilités

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

Connaissances

Phone communication

Managed care experience

Contract interpretation

Formation

Bachelor's degree or equivalent

Description du poste

Prime Healthcare is seeking a Specialist, Account Resolution to lead the timely follow-up of Managed Care/Commercial accounts. You will communicate clearly by phone with health plans and maintain productivity standards while generating reports on progress.

Ideal candidates will have at least four years of hospital managed care/commercial collector experience, a Bachelor’s degree or equivalent, knowledge of contract interpretation, and familiarity with hospital billing requirements.