Account Resolution Specialist

Overview

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

Responsibilities

The Account Resolution Specialist 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, EXPERIENCE, TRAINING

 

1.     Minimum of four years medical group managed care/commercial collector experience required.

2.     Bachelor’s degree or equivalent work experience preferred.

3.     Knowledge of contract interpretation.

4.     Familiar with medical group billing requirements.