Account Resolution Specialist

Job description

Overview We are seeking an Account Resolution Specialist, sometimes referred to as a Managed Care Follow-Up Specialist or Commercial Account Follow-Up Specialist. The Account Resolution Specialist is responsible for the timely follow-up and resolution of Managed Care and Commercial accounts, ensuring accurate reimbursement and compliance with payer and state collection guidelines. This role communicates clearly and professionally with health plans by phone, reviews managed care contracts and maintains required productivity standards and reporting. Shifts Available: Days: Employment Type: Full-time: Hours: 8-hour shift: Location: St Joseph Medical Center – Kansas City, MO Here are some of the benefits of working at Prime Healthcare: - Health, dental, and vision insurance options - Paid vacation, sick time and holidays - Bereavement leave, FMLA and other leave options - Employer 401K options - Tuition reimbursement options - Life, disability, and other insurance options - Many other amazing benefits Responsibilities: Essential Duties and Responsibilities (includes, but not limited to): - Perform timely follow-up on Managed Care and Commercial accounts to support accurate reimbursemen...