Senior Medicare Medicaid Biller Collector

2 weeks ago


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

We are seeking a highly skilled Senior Medicare Medicaid Biller Collector to join our team at Prime Healthcare. As a key member of our revenue cycle team, you will be responsible for billing and collections, ensuring timely and accurate payment of accounts in accordance with Medicare and Medicaid guidelines.

Responsibilities
  • Maintain accurate and up-to-date billing information, including patient demographics and insurance details.
  • Process and submit claims to Medicare and Medicaid in a timely and accurate manner.
  • Follow up with payers and other entities to secure payment of accounts.
  • Responsible for billing through account closure, ensuring all necessary documentation is complete and accurate.
  • Collaborate with internal teams to resolve claim rejections and ensure compliance with regulatory requirements.
Qualifications
  • Minimum of three years hospital managed care/commercial collector experience.
  • 2 years of recent hospital Medicare billing experience in an automated environment.
  • Associates degree or equivalent work experience required.
  • Knowledge of contract interpretation and hospital billing requirements.
  • Familiarity with out-of-state Medicaid billing guidelines and basic Medicaid/Medicare billing rules and regulations.
What We Offer

Prime Healthcare offers a competitive compensation package, including a comprehensive benefits program, tuition reimbursement, and opportunities for professional growth and development.



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