Government Biller and Collector

Prime Healthcare•Inglewood, CA

11h•$38

About The Position

The Government Biller and Collector plays a critical role in managing the full billing and collections cycle for government payers. This position ensures accurate claim submission, timely follow-up, and successful payment resolution in compliance with payer-specific guidelines, policies, and regulatory requirements.

Requirements

5 years of hospital government payer and commercial collections experience required.
Associate degree or equivalent work experience preferred.
Strong knowledge of contract interpretation.
Familiarity with hospital billing requirements.
Hands-on experience with all payer types, including commercial, governmental, Medicare, Medicaid, HMO, etc., with the ability to work across multiple payer systems.
With Medicare: Must have experience using DDE or FISS systems.

Responsibilities

Maintaining deficiency lists to obtain missing documentation
Resolving claim denials and rejections
Preparing and packaging claims including global billing with professional fee attachments
Conducting proactive follow-up with payers and related entities
Securing payment of outstanding accounts
Accountable for all activities from initial billing through account closure.