Account Resolution Specialist in Denville, NJ at Prime Healthcare

Date Posted: 12/8/2019

Job Snapshot

  • Employee Type:
  • Location:
    66 Ford Road
    Denville, NJ
  • Job Type:
  • Experience:
    At least 4 year(s)
  • Date Posted:

Job Description


Prime Healthcare is an exciting place to work within a growing field, with opportunities for a variety of backgrounds and experience levels. We invite you to be part of a team that is committed to making an impact on lives every day in communities across the nation. Prime Healthcare offers competitive salaries and benefits to support your career, well-being, and future. 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.


  • Works account assigned to work list both expediently and thoroughly to expedite payment and final disposition of account.

  • Communicates effectively with patients, and other payers to facilitate payment in a timely fashion.

  • Makes clear legible notes in Medi-Tech pertaining to any collection efforts made on accounts. (Proper use of activity codes.)

  • Performs timely follow up and ensures appropriate action taken at system-mandated intervals.

  • Identifies Hospital/Corporate contracted payers.

  • Performs special projects and assignments in an accurate, efficient, and thorough manner.

  • Explains hospital deposit policies and payment arrangement standards.

  • Performs other duties as assigned or required.

  • Performs lead duties in order to assist with attainment of revenue cycle goals.

  • Meets cash goal requirements and all other KPI’s.


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

  • Knowledge of contract interpretation.

  • 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: