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Job Details

Senior Managed Care Biller Collector

Location
Lynwood, CA, United States

Posted on
Nov 28, 2022

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OverviewnPrime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nationu2019s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!nResponsibilitiesnThe Senior Managed Care 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 managed care. 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.n#LI-BF3nQualificationsnEDUCATION, EXPERIENCE, TRAININGn n1.    Minimum of three years hospital managed care/commercial collector experiencen2.    2 years of recent hospital managed care billing experience in an automated environmentn3.    Associates degree or equivalent work experience requiredn4.    Knowledge of contract interpretationn5.    Familiar with hospital billing requirementsn6.    Knowledge of out of state Medicaid billing guidelinesn7.    Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadlinen8.    Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.nWe are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: ****

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