Senior Government Payer Biller/Collector-Patient Acct

Sherman Oaks Hospital•Los Angeles, CA

14d•$26 - $29•Onsite

About The Position

The Senior Government Payer Biller/Collector is responsible for billing and collecting accounts from government payers, gathering and securing information needed for billing, follow-up, and payment in accordance with 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 account payments. The senior biller/collector is responsible for accounts from billing through closure. The role is based at Sherman Oaks Hospital, a 153-bed, not-for-profit acute-care community hospital in Sherman Oaks, California. The hospital provides emergency care and specialized medical, surgical, and diagnostic services.

Requirements

Minimum of 5 years of hospital government payer or commercial collector experience.
Associate degree or equivalent work experience.
Knowledge of contract interpretation.
Familiarity with hospital billing requirements.
Understanding of managed care payer contracts and contract language.
Working experience with all payer types, including commercial, governmental, Medicare, Medicaid, and HMO, with the ability to cross over into different payers.

Responsibilities

Gather and secure all information needed for billing, follow-up, and payment of accounts in accordance with government payer guidelines, policies, procedures, and compliance regulations.
Maintain deficiency lists to 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.
Manage billing and collections through account closure.