Senior Managed Care Biller & Collector — Payer Expert

Ascension Medical Group; Ontario (CA); In loco; USD 33.000 - 52.000; Tempo pieno

Descrizione del lavoro

Prime Healthcare in Ontario, California seeks a Senior Managed Care Biller/Collector responsible for billing and collections across all payer types, ensuring timely submission of claims and secure documentation.

The role requires three years' hospital managed care experience, familiarity with Medicaid/Medicare rules, and the ability to navigate automated billing environments. This is a full-time, day-shift position with competitive benefits.

Competenze

• Minimum of three years hospital managed care/commercial collector experience.
• 2 years of recent hospital managed care billing experience in an automated environment.
• Associates degree or equivalent work experience preferred.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.
• Knowledge of out of state Medicaid billing guidelines.
• Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline.
• Working experience with all payer types including commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Mansioni

• Billing and collections; secure information for billing per payer guidelines and compliance.
• Maintain deficiency lists to obtain missing documents from internal/external sources.
• Resolve claim rejections and package claims, including global billing with attachments.
• Perform proactive follow up with payers and other entities to secure payment.
• Bill through account closure and ensure timely reimbursement.

Descrizione del lavoro

Prime Healthcare in Ontario, California seeks a Senior Managed Care Biller/Collector responsible for billing and collections across all payer types, ensuring timely submission of claims and secure documentation.

The role requires three years' hospital managed care experience, familiarity with Medicaid/Medicare rules, and the ability to navigate automated billing environments. This is a full-time, day-shift position with competitive benefits.