Account Resolution Specialist

Prime Healthcare

Account Resolution Specialist

North Las Vegas ,

Nevada

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North Vista Hospitalis an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visitwww.northvistahospital.com .
Join an award-winning team of dedicated professionalscommitted to our core values of quality, compassion and community!
AtNorth Vista Hospital, a member of Prime Healthcare anda Top-15 hospital system in the United States, we offer incredibleopportunities to expand your horizonsand be part of a community dedicated to making a difference.
We are an Equal Opportunity 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. 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 and Work Experience
Minimum of four years hospital managed care/commercial collector experience required.
Bachelors degree or equivalent work experience preferred
Knowledge of contract interpretation
Familiar with hospital billing requirements.
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