Sr. Government Biller/Collector

Prime Healthcare; Los Angeles (CA); On-site; USD 53,000 - 61,000; Full time

Benefits offered by this job

Paid time off

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Sherman Oaks Hospital in Sherman Oaks, CA, part of Prime Healthcare, seeks a Senior Government Payer Biller/Collector to manage government and commercial payer billing and collections in a hospital setting.

You will follow payer guidelines, resolve claim rejections, and ensure timely payment through proactive follow-up, with 5+ years of relevant experience and an associates degree or equivalent.

Qualifications

• Minimum of 5 years hospital government payer/commercial collector experience.
• Associates degree or equivalent work experience.
• Knowledge of contract interpretation.
• Familiar with hospital billing requirements.
• Understanding of managed care payor contract language.
• Experience with all payer types including commercial, governmental, Medicare, Medicaid, HMO.

Responsibilities

• Billing and collections for government payers.
• Maintain deficiency lists and obtain missing documents, resolve claim rejections, package claims with attachments.
• Proactive follow up with payers to secure payment and close accounts.

Skills

Government payer experience

Commercial payer experience

Contract interpretation

Hospital billing knowledge

Payer type cross-over

Education

Associates degree or equivalent

Job description

Overview

Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a "100 Top Hospital" by Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.org.

Responsibilities

The Senior Government Payer 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

EDUCATION, EXPERIENCE, TRAINING

1. Minimum of 5 years hospital government payer/commercial collector experience

2. Associates degree or equivalent work experience required

3. Knowledge of contract interpretation

4. Familiar with hospital billing requirements

5. Understanding of managed care payor contract and contract language

6. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Pay Transparency

Sherman Oaks Hospital 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 $25.78 to $29.39 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