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Shasta Regional Medical Center · 2 weeks ago

Sr Medicare Medicaid Biller Collector

Redding, CA

Full-time

Onsite

Mid, Senior Level

$21/hr - $38/hr

3+ years exp

Shasta Regional Medical Center is an award-winning healthcare facility dedicated to quality, compassion, and community. The Senior Medicare-Medicaid Biller/Collector is responsible for billing and collections, ensuring compliance with payer guidelines and securing payments for accounts.

Health CareHospitalMedical

Responsibilities

The Senior Medicare-Medicaid 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 Medicare-Medicaid

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

Qualification

Medicare billing experienceMedicaid billing guidelinesHospital billing requirementsContract interpretationManaged care experiencePayer types knowledge

Required

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

Familiar with hospital billing requirements

Knowledge of out of state Medicaid billing guidelines

Knowledge of basic Medicaid/Medicare billing rules, regulations, and deadline

Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers