Sr. Government Biller/Collector

Prime Healthcare; Los Angeles (CA); On-site; USD 35,514 - 40,487; Full time

Benefits offered by this job

Comprehensive benefits package

Paid time off

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Prime Healthcare is seeking a Senior Government Payer Biller/Collector at Sherman Oaks Hospital to manage billing and collections effectively. The role requires a minimum of 5 years of experience with hospital government payer and commercial collections, ensuring compliance with specific payer guidelines.

Applicants should possess an Associate degree or equivalent work experience. Our competitive compensation ranges from $25.78 to $29.39 per hour. Join a team recognized for compassionate care and excellence.

Qualifications

• Minimum of 5 years hospital government payer/commercial collector experience.
• Associates degree or equivalent work experience required.
• Knowledge of contract interpretation is essential.

Responsibilities

• Responsible for billing and collections, securing information for billing.
• Follow up on accounts in accordance with payer guidelines.
• Resolve claim rejections and package claims, including global billing.

Skills

Hospital government payer/commercial collector experience

Knowledge of contract interpretation

Familiar with hospital billing requirements

Understanding of managed care payor contract

Experience with all payer types

Education

Associates degree or equivalent work experience

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

• 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

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