Sr Managed Care Biller / Collector

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

Job summary

A leading healthcare provider is seeking a Senior Managed Care Biller / Collector to manage billing and collections processes. The role requires extensive experience in hospital billing and knowledge of Medicare and Medicaid guidelines. Competitive compensation and benefits are offered, including paid time off and tuition reimbursement.

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, resolves claim rejections, and performs proactive follow-up with payers.

Skills

Knowledge of contract interpretation

Familiarity with hospital billing requirements

Understanding of Medicaid / Medicare billing rules

Education

Associates degree or equivalent work experience

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.

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

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