Account Resolution Specialist

Overview

North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visit www.northvistahospital.com.

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!

At North Vista Hospital, a member of Prime Healthcare and a Top-15 hospital system in the United States, we offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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. Bachelors degree or equivalent work experience preferred Knowledge of contract interpretation Familiar with hospital billing requirements.