Strategic Managed Care Collections Specialist

Garden City Hospital; Garden City (MI); On-site; USD 45,000 - 60,000; Full time

Job summary

Prime Healthcare is seeking a Specialist, Account Resolution to lead timely follow-up of managed care and commercial accounts, communicating with health plans by phone and ensuring productivity standards are met. The role involves reviewing contracts and maintaining accurate reporting as part of a hospital billing team.

The position requires at least four years of hospital managed care experience and a bachelor’s degree or equivalent, with strong knowledge of billing requirements and contract

Qualifications

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

Responsibilities

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

Skills

Managed care experience

Communication skills

Education

Bachelor’s degree or equivalent

Job description

Prime Healthcare is seeking a Specialist, Account Resolution to lead timely follow-up of managed care and commercial accounts, communicating with health plans by phone and ensuring productivity standards are met. The role involves reviewing contracts and maintaining accurate reporting as part of a hospital billing team.

The position requires at least four years of hospital managed care experience and a bachelor’s degree or equivalent, with strong knowledge of billing requirements and contract