Medical Billing Specialist

5 days ago


Ontario, California, United States Prime Healthcare Full time
Job Summary

The Senior Medicare-Medicaid Biller/Collector is a critical role at Prime Healthcare, responsible for ensuring timely and accurate billing and collections for patients. This position requires a high degree of organization, attention to detail, and effective communication skills.

About Prime Healthcare

Prime Healthcare is an award-winning health system with 45 hospitals and over 300 outpatient locations across 14 states. We provide over 2.6 million patient visits annually and are committed to delivering exceptional patient care.

Salary and Benefits

We offer a competitive compensation package, including an estimated salary range of $21.00 to $42.56 per hour, depending on experience. Our comprehensive benefits include medical, dental, and vision coverage, paid time off, and a 401K retirement plan.

Responsibilities
  • Billing: Gather and secure all necessary information for billing, follow up, and payment of accounts in accordance with payer guidelines, policies, and regulations.
  • Collections: Resolve claim rejections, packaging claims, and perform proactive follow-up with payers and other entities to secure payment.
  • Deficiency lists: Maintain lists used to obtain missing documents from internal or external entities.
Requirements
  1. Minimum three years hospital managed care/commercial collector experience.
  2. Two years of recent hospital Medicare billing experience in an automated environment.
  3. Associates degree or equivalent work experience required.
  4. Knowledge of contract interpretation, hospital billing requirements, out-of-state Medicaid billing guidelines, and basic Medicaid/Medicare billing rules and regulations.
Work Environment

This role is based full-time in an office setting, requiring regular attendance and the ability to work independently with minimal supervision.



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