Senior Government Billing and Collections Specialist

2 weeks ago


Ontario, California, United States Mission Regional Medical Center Full time
Overview

Mission Regional Medical Center is a prominent healthcare provider dedicated to delivering exceptional medical services.

With a network of facilities and a commitment to patient care, we strive to enhance the health and well-being of our community.

We are seeking talented individuals to join our corporate team.

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.

If you require special accommodations during the application process, please reach out to our Human Resources department.

Responsibilities

The Senior Government Billing and Collections Specialist is tasked with overseeing the billing and collection processes, ensuring that all necessary information is gathered and secured for accurate billing, follow-up, and payment of accounts in compliance with government payer guidelines, policies, and regulations.

This role involves maintaining deficiency lists to obtain missing documentation from various sources, resolving claim denials, preparing claims for submission, including comprehensive billing with required attachments, and conducting proactive follow-ups with payers to secure account payments.

The specialist is accountable for the entire billing process until account closure.

Qualifications

EDUCATION, EXPERIENCE, TRAINING
  • Minimum of 5 years of experience in hospital government payer and commercial collections.
  • Associate's degree or equivalent professional experience is required.
  • Proficient in contract interpretation.
  • Familiarity with hospital billing protocols.
  • Understanding of managed care payer contracts and related language.

Experience with various payer types, including:
commercial, governmental, Medicare, Medicaid, HMO, etc., and the capability to navigate across different payer systems.

Mission Regional Medical Center offers competitive compensation and a comprehensive benefits package, allowing employees to customize their benefits to meet individual needs.

Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and various voluntary benefit options.

A reasonable compensation estimate for this role, which encompasses estimated wages, benefits, and other forms of compensation, ranges from $20.00 to $38.00.

The specific starting compensation will be determined at the time of hiring, considering various factors such as skill set, years of relevant experience, education, credentials, and licensure.



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