Sr Managed Care Biller/Collector

Prime Healthcare; 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. This role involves ensuring compliance with payer guidelines and requires extensive experience in hospital billing. The position offers competitive compensation and a comprehensive benefits package.

Benefits

Paid time off

401K plan

Medical coverage

Dental coverage

Vision coverage

Tuition reimbursement

Qualifications

• Minimum of three years hospital managed care/commercial collector experience.
• Two years of recent hospital Medicare billing experience.

Responsibilities

• Responsible for billing and collections, securing information for billing.
• Follow-up and payment of accounts according to payer guidelines.

Skills

Knowledge of contract interpretation

Familiarity with hospital billing requirements

Understanding of basic Medicaid/Medicare billing rules

Education

Associates degree

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. It prohibits discrimination and harassment based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to law), disability, military status, genetic information, or any other protected category by law. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

The Senior Managed Care Biller/Collector is responsible for billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts according to payer guidelines, policies, procedures, and compliance regulations. This includes maintaining deficiency lists, resolving claim rejections, packaging claims (including global billing with attachments), proactive follow-up with payers, and securing payment of accounts. The senior biller/collector is accountable for billing through account closure.

Qualifications

Education and Work Experience

• Minimum of three years hospital managed care/commercial collector experience.
• Two years of 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 basic Medicaid/Medicare billing rules, regulations, and deadlines.
• Experience with all payer types including commercial, governmental, Medicare, Medicaid, HMO, etc., with the ability to cross-over between payers.

Prime Healthcare offers competitive compensation and a comprehensive benefits package, including paid time off, a 401K plan, medical, dental, and vision coverage, tuition reimbursement, and more. The estimated total compensation for this role ranges from $21.00 to $38.00, with the exact offer determined based on experience, education, credentials, and other factors.