Demo

Billing Specialist

Prime Healthcare Services
Denville, NJ Full Time
POSTED ON 10/14/2024 CLOSED ON 1/31/2025

What are the responsibilities and job description for the Billing Specialist position at Prime Healthcare Services?

Location US-NJ-Denville ID 2024-177912 Category Admin Position Type Full Time Shift Days Job Type Non-Exempt

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen 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!

Responsibilities

The Specialist, Billing 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.

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Qualifications

Education and Work Experience

  • Minimum of four years hospital managed care/commercial collector experience preferred.
  • Bachelor's degree or equivalent work experience preferred.
  • Knowledge of contract interpretation.
  • Familiar with hospital billing requirements
  • 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

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