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Account Resolution Specialist

Prime Healthcare North Las Vegas Full-Time
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The Specialist, Account Resolution is the lead 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.


1.     Minimum of four years hospital managed care/commercial collector experience required.


2.     Bachelor’s degree or equivalent work experience preferred


3.     Knowledge of contract interpretation


4.     Familiar with hospital billing requirements


Skills required

Claims
Collections
Billing
Insurance
Call Centers
Written Communication
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Prime Healthcare is an award-winning hospital management company operating 44 acute care hospitals in 14 states. It is one of the nation's leading healthcare service providers with nearly 43,000 employees and staff dedicated to providing the highest quality healthcare and contributing to the communities they serve. Founded in 2001, Ontario, Ca.-based Prime Healthcare is committed to preserving access to healthcare and turning hospitals into thriving, community assets. Prime Healthcare continues to save hospitals, save jobs and save lives.


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