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Account Resolution Specialist

Prime Healthcare
Denville, NJ Full Time
POSTED ON 3/15/2025
AVAILABLE BEFORE 4/15/2025

OverviewPrime 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!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 : ResponsibilitiesThe 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.#LI-BM2QualificationsEDUCATION, EXPERIENCE, TRAININGMinimum of four years hospital managed care / commercial collector experience required.Bachelor’s degree or equivalent work experience preferredKnowledge of contract interpretationFamiliar with hospital billing requirementsConnect With Us! ()FacilityPrime Healthcare Management IncLocationUS-NJ-DenvilleID2024-184977CategoryBusiness ProfessionalPosition TypeFull TimeShiftDaysJob TypeNon-Exempt

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