Sr Managed Care Biller Collector

Prime Healthcare; Ontario; On-site; CAD 30,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Managed Care Biller/Collector. This role involves handling billing and collections, ensuring compliance with payer guidelines, and managing accounts through to closure. The ideal candidate will have extensive experience in hospital managed care and billing practices, along with a strong understanding of Medicaid and Medicare rules. Join a dynamic team and contribute to the efficient operation of a top healthcare provider.

Benefits

Paid time off

401K

Medical coverage

Dental coverage

Vision coverage

Tuition reimbursement

Qualifications

• Minimum of three years hospital managed care/commercial collection experience.
• Two years recent hospital managed care billing experience in an automated environment.

Responsibilities

• Responsible for billing and collections, gathering necessary information.
• Follow payer guidelines, resolve claim rejections, and secure payments.

Skills

Hospital managed care collection

Billing knowledge

Contract interpretation

Medicaid/Medicare billing rules

Proactive follow-up

Education

Associates degree

Job description

Join to apply for the Sr Managed Care Biller Collector role at Prime Healthcare.

Prime Healthcare is an award-winning health system headquartered in Ontario, California. It operates 51 hospitals and over 360 outpatient locations across 14 states, providing more than 2.5 million patient visits annually. With nearly 57,000 employees and physicians, it is one of the nation's leading health systems. Eighteen hospitals are part of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit organization. Prime Healthcare is actively seeking new team members.

Responsibilities

The Senior Managed Care Biller/Collector is responsible for billing and collections, including gathering necessary information, following payer guidelines, resolving claim rejections, and securing payments. The role involves maintaining deficiency lists, packaging claims, proactive follow-up with payers, and managing accounts through to closure.

Qualifications

• Minimum of three years hospital managed care/commercial collection experience.
• Two years recent hospital managed care billing experience in an automated environment.
• Associates degree or equivalent work experience.
• Knowledge of contract interpretation, hospital billing requirements, and out-of-state Medicaid guidelines.
• Understanding of managed care, Medicaid/Medicare billing rules, and deadlines.
• Experience with all payer types, including commercial, governmental, Medicare, Medicaid, HMO, etc.

Additional Information

Prime Healthcare offers competitive pay and a comprehensive benefits package, including paid time off, 401K, medical/dental/vision coverage, tuition reimbursement, and more. Estimated total compensation ranges from $21.00 to $38.00 per hour, depending on experience and qualifications.

Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Accounting/Auditing and Finance
• Industries: Wellness and Fitness Services, Medical Practices, Hospitals and Healthcare