Overview:
Prime Healthcare is an award-winning health system headquartered in Ontario, California.
Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually.
It is one of the nations leading health systems with nearly 50,000 employees and physicians.
Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.
Prime Healthcare is actively seeking new members 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 need special accommodation for the application process, please contact Human Resources.
Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities:
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.
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.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING 1.
Minimum of 5 years hospital government payer/commercial collector experience 2.
Associates degree or equivalent work experience required3.
Knowledge of contract interpretation4.
Familiar with hospital billing requirements5.
Understanding of managed care payor contract and contract language 6.
Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc.
and the ability to cross-over into different payers.
Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their 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 many more voluntary benefit options.
A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $20.00 to $38.00.
The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.