Senior Medicare Medicaid Biller Collector

Prime Healthcare Services • Inglewood, CA

91d • $25 - $38

About The Position

Prime Healthcare is actively seeking new members to join our corporate team! The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure.

Requirements

• Minimum of three years hospital managed care/commercial collector experience.
• 2 years of recent hospital Medicare billing experience in an automated environment.
• Associates degree or equivalent work experience required.
• Knowledge of contract interpretation.
• Familiar 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, HMO, etc.

Responsibilities

• Gather and secure all information needed for billing, follow up, and payment of accounts.
• Maintain deficiency lists to obtain missing documents from internal or external entities.
• Resolve claim rejections and package claims, including global billing with attachments.
• Perform proactive follow up with payers and other entities.
• Secure payment of accounts.
• Accountable and responsible for billing through account closure.

Benefits

• Paid time off
• 401K retirement plan
• Medical coverage
• Dental coverage
• Vision coverage
• Tuition reimbursement
• Voluntary benefit options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree