Government Biller and Collector
About The Position
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! 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. Responsibilities include 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, and securing payment of outstanding accounts. The Government Biller and Collecto is accountable for all activities from initial billing through account closure.
Requirements
- 5 years of hospital government payer and commercial collections experience required.
- 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.
Nice To Haves
- Associate degree or equivalent work experience preferred.
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.
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
