Senior Managed Care Biller & Collector: Payer Relations Pro

Talentify; Ontario (CA); On-site; USD 33,000 - 52,000; Full time

Job summary

Prime Healthcare is seeking a Senior Managed Care Biller/Collector to manage billing and collections for hospital payer accounts, ensuring timely follow-up and payment in line with payer guidelines and compliance standards.

The role requires 3+ years of hospital managed care experience, knowledge of Medicaid/Medicare billing rules, and proficiency with automated billing systems. Full-time, on-site in Ontario, CA.

Qualifications

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

Responsibilities

• Billing and collections for managed care accounts, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with payer guidelines, policies, procedures, and compliance regulations.

Skills

Billing expertise

Communication skills

Attention to detail

Cross-functional collaboration

Education

Associates degree or equivalent

Job description

Prime Healthcare is seeking a Senior Managed Care Biller/Collector to manage billing and collections for hospital payer accounts, ensuring timely follow-up and payment in line with payer guidelines and compliance standards.

The role requires 3+ years of hospital managed care experience, knowledge of Medicaid/Medicare billing rules, and proficiency with automated billing systems. Full-time, on-site in Ontario, CA.