Sr Managed Care Biller/Collector

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

Job summary

A leading healthcare management company is seeking a Senior Managed Care Biller/Collector to manage billing and collections efficiently. The role requires expertise in hospital billing and a minimum of three years of relevant experience. Join a team committed to providing exceptional healthcare services.

Benefits

Paid Time Off

401K

Medical/Dental/Vision Coverage

Tuition Reimbursement

Voluntary Benefits

Qualifications

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

Responsibilities

• Handles billing and collections, ensuring all information needed for billing is gathered.
• Maintains deficiency lists and resolves claim rejections.

Skills

Contract Interpretation

Billing Knowledge

Medicaid Knowledge

Education

Associates Degree

Job description

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Pay Range

This range is provided by Prime Healthcare Management. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range: $21.00/hr - $38.00/hr

Overview

Prime Healthcare, headquartered in Ontario, California, is an award-winning health system operating 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 a leading health system in the nation. Eighteen hospitals are part of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new team members.

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Responsibilities

The Senior Managed Care Biller/Collector handles billing and collections, ensuring all information needed for billing, follow-up, and payment is gathered and secured according to payer guidelines, policies, and regulations. Responsibilities include maintaining deficiency lists, resolving claim rejections, packaging claims, performing proactive follow-up with payers, and securing payment until account closure.

Qualifications

Education and Work Experience:

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

Prime Healthcare offers a competitive compensation package including paid time off, 401K, medical/dental/vision coverage, tuition reimbursement, and voluntary benefits. The estimated total compensation range for this role is $21.00 to $38.00, with the exact offer based on experience, education, and credentials.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare

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