drjobs Senior Medicare Medicaid Biller Collector

Senior Medicare Medicaid Biller Collector

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1 Vacancy
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Job Location drjobs

Ontario, CA - USA

Monthly Salary drjobs

$ 21 - 38

Vacancy

1 Vacancy

Job Description

Overview

Prime Healthcare is an awardwinning 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 nations leading health systems with nearly 50000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation a 501(c)3 notforprofit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

We are an Equal Opportunity 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. 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.

*This role is based full time in office.
LIVR2 #Onsite

Qualifications

  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.

Prime Healthcare 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

About Company

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