Account Resolution Specialist Non-Government

Summary

OverviewPrime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.Prime Healthcare is actively seeking new members to join our corporate team!ResponsibilitiesThe Account Resolution Specialist focuses on timely follow-up of Managed Care and Commercial accounts. They communicate clearly and efficiently by phone with health plans, physician offices, and patients. They maintain productivity and quality standards, obtain state collection guidelines if applicable, and review managed care contracts.QualificationsPreferred four years hospital managed care/commercial collector experience.Knowledge of contract interpretation.Familiarity with hospital billing requirements.Employment Status: Full TimeShift: DaysEqual Employment OpportunityCompany is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:

Job Description

OverviewPrime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.Prime Healthcare is actively seeking new members to join our corporate team!ResponsibilitiesThe Account Resolution Specialist focuses on timely follow-up of Managed Care and Commercial accounts. They communicate clearly and efficiently by phone with health plans, physician offices, and patients. They maintain productivity and quality standards, obtain state collection guidelines if applicable, and review managed care contracts.QualificationsPreferred four years hospital managed care/commercial collector experience.Knowledge of contract interpretation.Familiarity with hospital billing requirements.Employment Status: Full TimeShift: DaysEqual Employment OpportunityCompany is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: