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Medical Billing Specialist - Denial Resolution
full-timeDenville$0k - $0k

Summary

Location

Denville

Salary

$0k - $0k

Type

full-time

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About this role

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen 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!

 

 

If you wish to contribute to the Prime Healthcare legacy as a Medical Biller for a hospital within our family of acute care hospitals (or one of our future hospitals), we invite you to join our network to begin exploring immediate and future opportunities.

Responsibilities

The Medical Billing 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.

 

#LI-BM2

Qualifications

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

2.     Bachelor’s degree or equivalent work experience preferred

3.     Knowledge of contract interpretation

4.     Familiar with hospital billing requirements

 

 

Pay Transparency

Prime Healthcare Management Inc offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.00 to $27.83. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

 

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/EEOCKnowYourRightsscreenreader10_20.pdf

 

Other facts

Tech stack
Managed Care,Commercial Collections,Contract Interpretation,Hospital Billing Requirements,Communication Skills,Productivity Standards

About Prime Healthcare Management Inc

About Prime Healthcare and Prime Healthcare Foundation: Prime Healthcare is an award-winning health system operating 51 hospitals and more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually. It is one of the nation's leading health systems, with nearly 57,000 employees and affiliated physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Based in Ontario, California, Prime Healthcare is nationally recognized for award-winning quality care and has been named a 10 Top and 15 Top Health System by Truven Health Analytics. Its hospitals have been named among the nation's "100 Top Hospitals" 69 times and have received more Patient Safety Excellence Awards from Healthgrades than any other health system in the past eight years. To learn more, please visit primehealthcare.com.

Team size: 10,001+ employees
LinkedIn: Visit
Industry: Hospitals and Health Care

What you'll do

  • The Medical Billing Specialist is responsible for the timely follow-up of Managed Care/Commercial accounts and communicates with health plans. They also maintain productivity standards and review managed care contracts.

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Frequently Asked Questions

What does Prime Healthcare Management Inc pay for a Medical Billing Specialist - Denial Resolution?

Prime Healthcare Management Inc offers a competitive compensation package for the Medical Billing Specialist - Denial Resolution role. The salary range is USD 0k - 0k per year. Apply through Clera to learn more about the full compensation details.

What does a Medical Billing Specialist - Denial Resolution do at Prime Healthcare Management Inc?

As a Medical Billing Specialist - Denial Resolution at Prime Healthcare Management Inc, you will: the Medical Billing Specialist is responsible for the timely follow-up of Managed Care/Commercial accounts and communicates with health plans. They also maintain productivity standards and review managed care contracts..

Why join Prime Healthcare Management Inc as a Medical Billing Specialist - Denial Resolution?

Prime Healthcare Management Inc is a leading Hospitals and Health Care company. The Medical Billing Specialist - Denial Resolution role offers competitive compensation.

Is the Medical Billing Specialist - Denial Resolution position at Prime Healthcare Management Inc remote?

The Medical Billing Specialist - Denial Resolution position at Prime Healthcare Management Inc is based in Denville, New Jersey, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Medical Billing Specialist - Denial Resolution position at Prime Healthcare Management Inc?

You can apply for the Medical Billing Specialist - Denial Resolution position at Prime Healthcare Management Inc directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Prime Healthcare Management Inc on their website.