Senior Managed Care Billing & Collections Specialist

SAINT MARY OF NAZARETH HOSPITAL; Ontario (CA); In loco; USD 33.000 - 52.000; Tempo pieno

Descrizione del lavoro

Prime Healthcare in Ontario, CA, is seeking a Senior Managed Care Biller/Collector responsible for billing and collections across payer types, gathering required documents, resolving claim rejections, and ensuring timely payment until account closure.

The role requires 3+ years in hospital managed care billing, familiarity with Medicaid/Medicare rules, and the ability to work in an automated environment; compensation includes benefits under Prime's Total Rewards program.

Competenze

• Three-plus years in hospital managed care/commercial collector experience.
• Experience with billing in an automated hospital environment.
• Knowledge of contract interpretation and hospital billing requirements.

Mansioni

• Bill and collect in accordance with payer guidelines and compliance rules.
• Maintain deficiency lists and secure missing documents from internal/external sources.
• Follow up with payers to obtain payment and close accounts.

Conoscenze

Managed care billing

Accounts receivable

Payer guidelines knowledge

Attention to detail

Formazione

Associates degree or equivalent work experience

Strumenti

Hospital billing systems

Descrizione del lavoro

Prime Healthcare in Ontario, CA, is seeking a Senior Managed Care Biller/Collector responsible for billing and collections across payer types, gathering required documents, resolving claim rejections, and ensuring timely payment until account closure.

The role requires 3+ years in hospital managed care billing, familiarity with Medicaid/Medicare rules, and the ability to work in an automated environment; compensation includes benefits under Prime's Total Rewards program.