Managed Care Account Resolution Specialist

Centinela Hospital Medical Center; Garden City (MI); On-site; USD 42,000 - 65,000; Full time

Job summary

Prime Healthcare is seeking an Analyst, Account Resolution to perform timely follow-up of Managed Care/Commercial accounts. You will communicate by phone with health plans, maintain productivity standards, and report on progress.

The role requires knowledge of hospital billing requirements and contract interpretation, with a preference for those with two years of hospital managed care experience and a Bachelor's degree or equivalent.

Qualifications

• Two 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

• The Analyst, Account Resolution is 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.

Skills

Contract interpretation

Hospital billing knowledge

Education

Bachelor's degree or equivalent work experience

Job description

Prime Healthcare is seeking an Analyst, Account Resolution to perform timely follow-up of Managed Care/Commercial accounts. You will communicate by phone with health plans, maintain productivity standards, and report on progress.

The role requires knowledge of hospital billing requirements and contract interpretation, with a preference for those with two years of hospital managed care experience and a Bachelor's degree or equivalent.