Senior Government Payer Biller/Collector-Patient Acct

Prime Healthcare•Sherman Oaks, CA

12d

About The Position

The Senior Government Payer Biller/Collector is responsible for billing and collections, gathering and securing the information needed for billing, follow-up, and payment of accounts in accordance with government payer guidelines, policies, procedures, and compliance regulations. The role maintains deficiency lists to obtain missing documents from internal or external entities, resolves claim rejections, packages claims (including global billing with professional-fee claim attachments), proactively follows up with payers and other entities, and secures payment. The position is accountable for billing accounts through closure.

Requirements

At least 5 years of hospital government payer or commercial collector experience.
Associate degree or equivalent work experience required.
Knowledge of contract interpretation.
Familiarity with hospital billing requirements.
Understanding of managed care payer contracts and contract language.
Working experience with commercial, governmental, Medicare, Medicaid, HMO, and other payer types, and ability to work across different payers.

Responsibilities

Gather and secure information needed for billing, follow-up, and payment of accounts.
Maintain deficiency lists and obtain missing documents from internal or external entities.
Resolve claim rejections.
Package claims, including global billing with attachments of professional-fee claims.
Proactively follow up with payers and other entities.
Secure payment of accounts and manage billing through account closure.