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Account Resolution Specialist Non-Government

Job

Prime Healthcare Management Inc

Garden City, MI (In Person)

Full-Time

Posted 2 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/15/2026

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Job Description

Account Resolution Specialist Non-Government Prime Healthcare Management Inc - 3.3 Garden City, MI Job Details Full-time 19 hours ago Qualifications Contract documentation review Contract review Managed care Managed care organization experience Contract interpretation Mid-level Billing follow-up on outstanding patient balances Health insurance knowledge Medical billing and coding communication with insurance companies Insurance claim issue resolution Insurance provider collaboration Hospital experience
Full Job Description Overview:
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one 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!
Responsibilities:
The Account Resolution Specialist focused is responsible for the timely follow-up of Managed Care and Commercial accounts. Communicates clearly and efficiently by phone with health plans, physician offices, and patients. Maintains productivity and quality standards. Responsible for obtaining State collection guidelines if applicable. Reviews managed care contracts.
Qualifications:
Preferred four years hospital managed care/commercial collector experience. Knowledge of contract interpretation Familiar with hospital billing requirements
Employment Status:
Full Time Shift:
Days Equal Employment Opportunity:
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:
https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf