Managed Care Accounts Resolution Specialist

Centinela Hospital Medical Center; Garden City (MI); Vor Ort; USD 52.000 - 65.000; Vollzeit

Zusammenfassung

Garden City Hospital, part of Prime Healthcare, seeks a Specialist, Account Resolution to lead timely follow-up of Managed Care/Commercial accounts. You will communicate with health plans, ensure productivity, and apply contract interpretation to resolve balances.

Ideal candidates bring at least four years in hospital managed care collection, a Bachelor’s degree or equivalent, and familiarity with hospital billing requirements to support our mission of quality patient care.

Qualifikationen

• Four years hospital managed care/commercial collector experience required.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.

Aufgaben

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

Ausbildung

Bachelor’s degree or equivalent

Jobbeschreibung

Garden City Hospital, part of Prime Healthcare, seeks a Specialist, Account Resolution to lead timely follow-up of Managed Care/Commercial accounts. You will communicate with health plans, ensure productivity, and apply contract interpretation to resolve balances.

Ideal candidates bring at least four years in hospital managed care collection, a Bachelor’s degree or equivalent, and familiarity with hospital billing requirements to support our mission of quality patient care.