Managed Care Specialist

2 days ago


Denville, New Jersey, United States HBSI Full time
Job Summary:
We are seeking an experienced Managed Care Specialist to join our team at Prime Healthcare Management Inc. In this role, you will be responsible for managing and resolving issues related to managed care/commercial accounts. If you possess excellent communication and analytical skills, we encourage you to apply.

Key Responsibilities:
* Follow up with managed care/commercial accounts in a timely and efficient manner
* Communicate effectively with health plans and obtain state collection guidelines when necessary
* Ensure compliance with hospital billing requirements and contract interpretation

Requirements:
* Four years' experience in hospital managed care/commercial collection
* Bachelor's degree or equivalent work experience preferred
* Strong knowledge of contract interpretation and hospital billing requirements

What We Offer:
* Competitive salary and benefits package
* Opportunities for career growth and professional development
* Dynamic and collaborative work environment

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