• Account Resolution Specialist

    Prime Healthcare (Garden City, MI)


    Overview

     

    Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen 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!

     

    Company 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 (subject to applicable law), 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:https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf

    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, EXPERIENCE, TRAINING

    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

     

    Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203462/account-resolution-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)

     

    FacilityPrime Healthcare Management Inc

     

    LocationUS-MI-Garden City

    ID2025-203462

    CategoryBusiness Professional

     

    Position TypeFull Time

     

    ShiftDays

     

    Job TypeNon-Exempt