Apply on Employer Site

Prime Healthcare · 1 day ago

Sr. Managed Care Biller/Collector

Ontario, CA

Full-time

Onsite

Mid, Senior Level

$21/hr - $38/hr

3+ years exp

Prime Healthcare is an award-winning health system headquartered in Ontario, California. The Senior Managed Care Biller/Collector is responsible for billing and collections, ensuring compliance with payer guidelines and securing payment of accounts through thorough follow-up and documentation management.

Health CareHospital

Responsibilities

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

Qualification

Managed care billingHospital billing experienceContract interpretationMedicaid billing guidelinesPayer types experienceSoft skills

Required

Minimum of three years hospital managed care/commercial collector experience

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

Knowledge of contract interpretation

Familiar with hospital billing requirements

Knowledge of out of state Medicaid billing guidelines

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

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

Preferred

Associates degree or equivalent work experience preferred

Benefits

Paid time off

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Many more voluntary benefit options

Company

Prime Healthcare

Glassdoor3.0

About Prime Healthcare and Prime Healthcare Foundation: Prime Healthcare is an award-winning health system operating 51 hospitals and more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually.

Founded in 2001

Ontario, California, USA

10001+ employees