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Account Resolution Specialist (Medical Collections)

Prime Healthcare Denville, NJ Full-Time
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Responsibilities

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.



Qualifications

Education and Work Experience

  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



We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: [ Link removed ] - Click here to apply to Account Resolution Specialist (Medical Collections)

 

Recommended skills

Reports
Interpreting Contracts In English Laws
Collections
Hospitals
Managed Care
Billing
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Job ID: 2020-44224

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