What are the responsibilities and job description for the Account Resolution Specialist position at St. Joseph Medical Center?
Overview
At St. Joseph Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!
Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.
St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com .
Responsibilities
The Specialist, Account Resolution 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 and Work Experience
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
At St. Joseph Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!
Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.
St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com .
Responsibilities
The Specialist, Account Resolution 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 and Work Experience
- Minimum of four years hospital managed care/commercial collector experience required.
- Bachelor's degree or equivalent work experience preferred.
- Knowledge of contract interpretation.
- Familiar with hospital billing requirements
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
