Managed Care Billing Lead — Hospital Contracts

Prime Healthcare Services; Denville (NJ); On-site; USD 22,000 - 37,000; Full time

Benefits offered by this job

Paid time off

401K

Health insurance

Tuition reimbursement

Vision & dental coverage

Job summary

Prime Healthcare is seeking a Billing Specialist in New Jersey to lead timely follow-up of managed care and commercial accounts. You will communicate by phone with health plans, maintain productivity, and ensure adherence to guidelines.

This full-time role offers a comprehensive benefits package including PTO, 401K, and medical/dental/vision coverage, with compensation estimated between $16.00 and $27.00 per hour; starting pay depends on experience and credentials.

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

Skills

Contract interpretation

Hospital billing requirements

Education

Bachelor's degree or equivalent

Job description

Prime Healthcare is seeking a Billing Specialist in New Jersey to lead timely follow-up of managed care and commercial accounts. You will communicate by phone with health plans, maintain productivity, and ensure adherence to guidelines.

This full-time role offers a comprehensive benefits package including PTO, 401K, and medical/dental/vision coverage, with compensation estimated between $16.00 and $27.00 per hour; starting pay depends on experience and credentials.