Job Information
Job Description
Account Resolution Specialist (ARS1) - PHMI New Jersey B.O.
Facility
Prime Healthcare Management Inc
Location
US-NJ-Denville
ID
2022-88388
Category
Business Professional
Position Type
Full Time
Shift
Days
Overview
Prime Healthcare is an award-winning national hospital system with 45 acute-care hospitals in 14 states with nearly 50,000 employees and physicians. Through a physician-directed and patient-centered model, passionate dedication to quality, evidence-based best practices, operational efficiency, technology and capital investment, our hospitals are recognized among the best in the nation. Prime Healthcare has been named a "Top 15 Health System" by Truven and our hospitals are consistently among the "Top 100 Hospitals" in the country.
Benefits Statement
We offer:
Competitive Compensation
Generous benefits plan: Medical, Dental, Vision, 401K
Substantial PTO
Continuing Educational Opportunities
Collaborative work teams & cohorts
...and much more!
The Account Resolution Specialist will research and investigate claims, collect payments from outstanding commercial accounts (insurance carriers), collaborate with internal staff on reporting requirements, and follow up with any payer issues. This is an excellent opportunity to join a high performing team, build a foundation within healthcare, and receive the training and experience you need to be sucessful.
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 contracts1
\#LI-DW1
Qualifications
Education and Work Experience
Minimum of four years hospital managed care/commercial collector experience required.
Bachelor's degree or equivalent work experience preferred.
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: https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf
Connect With Us!
Not ready to apply? Connect with us for general consideration.
We believe that all persons are entitled to equal employment opportunity and does not discriminate against qualified employees or applicants because of race, color, national origin, ancestry, sex, marital status, child birth or related medical condition or any other protected category as defined by State or Federal Law. We are an equal opportunity employer and do not discriminate against applicants due to veterans status, disability, race, gender or other protected characteristics.
Company Information
The Truven Health Analytics "100 Top Hospitals" award winners for Prime Healthcare in 2015 were Centinela Hospital Medical Center (fourth time), Chino Valley Medical Center (fourth time), Desert Valley Hospital (sixth time) Garden Grove Hospital Medical Center (fourth time), Paradise Valley Hospital (second time) and Shasta Regional Medical Center (third time). Six of the nine California community hospitals that earned this distinction were Prime Healthcare hospitals. Prime Healthcare hospitals have earned this recognition 33 times.
With nearly 3,000 U.S. hospitals surveyed, the hospitals demonstrated that high-quality patient outcomes can be achieved while improving efficiency. If all hospitals in the U.S. performed at the same level as the 100 Top Hospitals award winners:
•Nearly 126,500 additional lives could be saved
•Nearly 109,000 additional patients could be complication-free
•$1.8 billion in inpatient costs could be saved
•The typical patient could be released from the hospital half a day sooner
•Episode-of-illness expense would be 2 percent lower than the peer median
According to Truven the majority of the 2015 award winners have produced year-to-year performance improvement, as well. This speaks to the consistent focus on excellence by the entire organization and the men and women who serve patients.
Denville, NJ 07834