Senior Biller/Collector

Prime Healthcare; Anaheim (CA); Sur place; USD 34 000 - 39 000; Plein temps

Résumé du poste

West Anaheim Medical Center, part of Prime Healthcare, is hiring a Senior Biller/Collector to manage billing and collections across various payer types. You will gather necessary documents, resolve claim rejections, and package claims with attachments for professional fees.

The role requires deep knowledge of hospital billing requirements and successful navigation of government and commercial payer guidelines. Join a team dedicated to quality care and community service.

Qualifications

• Minimum of 5 years hospital government payer/commercial collector experience.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.
• Understanding of managed care payor contract and contract language.
• Working experience with all payer types including commercial, governmental, Medicare, Medicaid, HMO, etc., and ability to cross-over into different payers.

Responsabilités

• Billing and collections, follow up and payment of accounts per payer guidelines and compliance regulations.
• Maintain deficiency lists to obtain missing documents from internal or external entities.
• Resolve claim rejections and package claims including attachments for professional fee claims.
• Secure payment of accounts through proactive payer follow-up and ensure timely account closure.

Connaissances

Hospital payer experience

Contract interpretation

Hospital billing knowledge

Managed care contracts

Payer types familiarity

Formation

Associates degree or equivalent experience

Description du poste

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visitwww.westanaheimmedctr.com.

Responsibilities

The Senior 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 Government payers. 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.

Qualifications

• Minimum of 5 years hospital government payer/commercial collector experience
• Associates degree or equivalent work experience required
• Knowledge of contract interpretation
• Familiar with hospital billing requirements
• Understanding of managed care payor contract and contract language
• Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Pay Transparency

West Anaheim Medical Center 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 $24.66 to $28.12. 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.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

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