Lead Managed Care Accounts 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

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.