Senior Government Payer Biller/Collector

1 day ago


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

The Senior Government Payer 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 Government payers.

Key Responsibilities
  • Maintaining deficiency lists to obtain missing documents from internal or external entities
  • Resolving claim rejections and packaging claims, including global billing with attachments of professional fee claims
  • Performing proactive follow up with payers and other entities to secure payment of accounts
  • Accountable and responsible for billing through account closure
Requirements
  • Minimum of 5 years hospital government payer/commercial collector experience
  • Associates degree or equivalent work experience required
  • Knowledge of contract interpretation and hospital billing requirements
  • Familiarity with managed care payor contract and contract language
  • Working experience with all payer types, including commercial, governmental, Medicare, Medicaid, HMO, etc.
About Prime Healthcare

Prime Healthcare is an award-winning health system headquartered in Ontario, California. We operate 45 hospitals and have more than 300 outpatient locations in 14 states, providing over 2.6 million patient visits annually. 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.



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