Sr Medicare Medicaid Biller Collector

Shasta Regional Medical Center•Redding, CA

6d•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center is one of the nation’s 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an ‘A’ Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for Stroke, Hip/Knee and Diabetes. They are a Five Star recipient for treatment of heart failure, respiratory failure and is named among the top 5% in the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their family. For more information, visit www.shastaregional.com. 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 deadline
Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Responsibilities

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
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
accountable and responsible for billing through account closure