Prime Healthcare

Senior Biller Collector

Facility Prime Healthcare Management Inc
Location
US-CA-Ontario
ID
2022-98826
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

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!

Responsibilities

The Senior Medicare-Medicaid 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 Medicare-Medicaid. 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.

#LI-BF3

Qualifications

Education and Work Experience

  1. Minimum of three years hospital managed care/commercial collector experience.
  2. 2 years of recent hospital Medicare 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 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: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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