Senior Revenue Cycle Specialist

4 weeks ago


Anaheim, United States Prime Healthcare Full time

Overview

West Anaheim Medical Center, a member of Prime Healthcare, is seeking a skilled Senior Biller/Collector to join our team. As a Senior Biller/Collector, you will be 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.

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.

Responsibilities

  • Maintain accurate and up-to-date records of patient accounts, billing, and collections
  • Ensure compliance with all relevant laws, regulations, and industry standards
  • Develop and implement effective billing and collections strategies
  • Collaborate with internal stakeholders to resolve billing and collections issues
  • Stay up-to-date with changes in payer guidelines, policies, and procedures

Qualifications

  • Minimum of 5 years hospital government payer/commercial collector experience
  • Associates degree or equivalent work experience required
  • Knowledge of contract interpretation
  • Familiar with hospital billing requirements
  • Understanding of managed care payor contract and contract language
  • Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers

West Anaheim Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.



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