Prime Healthcare

Account Receivable Resolution Specialist

Facility Prime Healthcare Management Inc
US-TX-Farmers Branch
Business Professional
Position Type
Full Time
Job Type


Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen 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!


This position is responsible for Healthcare Revenue Cycle Management Accounts Receivable (AR) Resolution for Prime Healthcare facilities. In this role the ideal candidate will ensure receipt of appropriate cash and other financial adjudications to settle account balances. This role involves performing billing activities related to account resolution including but not limited to, plan updates, insurance verification, payor edit rejections, coding updates, rebills, denials, technical and clinical appeals, contractual review, cash posting, adjustments and credits. This role will require communication to payors, departmental leadership, and other departments throughout the Revenue Cycle. Responsibilities will require the candidate to leverage systems, processes, resources and other methods to minimize revenue loss, increase cash flow, and maximize efficiency within the Revenue Cycle without compromising customer service.




Education and Work Experience

  1. High school diploma or GED required.
  2. Bachelor's degree preferred.
  3. 3-5 years of experience in Revenue Cycle Management.
  4. Minimum of 2 year of insurance hospital billing, collections required.
  5. Proficient in Microsoft Office, especially MS Excel (Pivot tables, VLOOKUP).
  6. Previous experience with EPIC and Meditech.
  7. Excellent multitasking and problem-solving abilities.
  8. Ability to use independent judgement and decision-making

We are an Equal Opportunity/ Affirmative Action 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. EEO is the Law:


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