Account Resolution Specialist in Denville, NJ at Prime Healthcare

Date Posted: 3/26/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    66 Ford Road
    Denville, NJ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/26/2020

Job Description

Overview
** Outpatient & Inpatient **

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.
 
 
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Qualifications

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
 
 
 
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