Sr Medicare Medicaid Biller Collector - PVH Patient Acct
Sr Medicare Medicaid Biller Collector - PVH Patient Acct
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Job Description
Overview
Join an awardwinning team of dedicated professionals committed to our core values of quality compassion and community! Paradise Valley Hospital a member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Paradise Valley Hospital is the South Bays oldest hospital the second oldest hospital in all of San Diego County and the largest employer in National City. For more than 100 years Paradise Valley Hospital has served San Diego faithfully proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291bed acute care hospital features
theSan Diego Spine & Joint Center a highly credentialed acuterehabilitation center ourParadise Health & Senior Center a fully equipped and modern cardiac catheterization lab and comprehensive inpatient and outpatient surgical services and 24hour emergency services.
In addition to our healthcare services we offer comprehensivebehavioral health serviceson the hospital campus and Bayview campus in Chula Vista. Services include psychiatric continuum of care for adult patients inpatient services and intensive outpatient services. Learn more at is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: Notice for California Applicants: Senior MedicareMedicaid 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 MedicareMedicaid. 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.
Qualifications
EDUCATION EXPERIENCE TRAINING
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 crossover into different payers.
Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes but is not limited to paid time off a 401K retirement plan medical dental and vision coverage tuition reimbursement and many more voluntary benefit options. A reasonable compensation estimate for this role which includes estimated wages benefits and other forms of compensation is $21.00 to $38.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire in which a wide range of factors will be considered including but not limited to skillset years of applicable experience education credentials and licensure.
Required Experience:
Senior IC
Employment Type
Full-Time
