Senior Medicare Medicaid Biller Collector

Prime Healthcare Management Inc•Inglewood, CA

43d•$26 - $38

About The Position

The Senior Medicare-Medicaid Biller/Collector handles billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with Medicare-Medicaid 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 attachments of professional fee claims), proactively follows up with payers and other entities, and secures account payments. The senior biller/collector is responsible for billing through account closure. Prime Healthcare is an award-winning health system headquartered in Ontario, California. It operates 54 hospitals and more than 360 outpatient locations in 15 states, providing more than 3.0 million patient visits annually. The organization has over 60,000 employees and physicians. Twenty-one hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.

Requirements

At least three years of hospital managed care/commercial collector experience.
Two years of recent hospital Medicare billing experience in an automated environment.
Associate degree or equivalent work experience.
Knowledge of contract interpretation.
Familiarity with hospital billing requirements.
Knowledge of out-of-state Medicaid billing guidelines.
Knowledge of basic Medicaid/Medicare billing rules, regulations, and deadlines.
Working experience with all payer types, including commercial, governmental, Medicare, Medicaid, and HMO, and ability to cross over to different payers.

Responsibilities

Gather and secure information needed for billing, follow-up, and payment of accounts in accordance with Medicare-Medicaid payer guidelines, policies, procedures, and compliance regulations.
Maintain deficiency lists to obtain missing documents from internal or external entities.
Resolve claim rejections and package claims, including global billing with attachments of professional fee claims.
Perform proactive follow-up with payers and other entities and secure payment of accounts.
Manage billing through account closure.