Prime Healthcare

Sr. Managed Care Biller Collector

Facility Prime Healthcare Management Inc
Position Type
Full Time


St. Francis Medical Center is a nationally recognized 384-bed acute care facility and features a Level II Trauma Center—one of the largest and busiest private emergency trauma centers in Los Angeles County! Founded in 1945, St. Francis Medical Center offers a full range of medical, surgical and therapeutic services to over a million area residents. With over 51K emergency visits in 2021 alone, our Business Office is GROWING! We are actively hiring for passionate individuals who would like to contribute to our legacy and the communities we serve daily. Ideally, we are seeking applicants with inpatient revenue cycle experience, in-depth knowledge and experience of denials management, clinical and technical denials, as well as performing complex clinical appeals within a high-volume environment.


The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure.






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

2.    2 years of recent hospital managed care billing experience in an automated environment

3.    Associates degree or equivalent work experience required

4.    Knowledge of contract interpretation

5.    Familiar with hospital billing requirements

6.    Knowledge of out of state Medicaid billing guidelines

7.    Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline

8.    Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.


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:


Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply? Connect with us for general consideration.