Government Biller and Collector jobs in United States
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Centinela Hospital Medical Center · 1 week ago

Government Biller and Collector

Prime Healthcare is an award-winning health system headquartered in Ontario, California. The Government Biller and Collector plays a critical role in managing the billing and collections cycle for government payers, ensuring compliance and successful payment resolution.

Health Care

Responsibilities

Managing the full billing and collections cycle for government payers
Ensuring accurate claim submission, timely follow-up, and successful payment resolution in compliance with payer-specific guidelines, policies, and regulatory requirements
Maintaining deficiency lists to obtain missing documentation
Resolving claim denials and rejections
Preparing and packaging claims including global billing with professional fee attachments
Conducting proactive follow-up with payers and related entities
Securing payment of outstanding accounts
Accountable for all activities from initial billing through account closure

Qualification

Government payer collectionsHospital billing knowledgeContract interpretationMedicare DDEFISSPayer types

Required

5 years of hospital government payer and commercial collections experience required
Strong knowledge of contract interpretation
Familiarity with hospital billing requirements
Hands-on experience with all payer types, including commercial, governmental, Medicare, Medicaid, HMO, etc., with the ability to work across multiple payer systems
With Medicare: Must have experience using DDE or FISS systems

Preferred

Associate degree or equivalent work experience

Benefits

Paid time off
A 401K retirement plan
Medical, dental, and vision coverage
Tuition reimbursement
Many more voluntary benefit options

Company

Centinela Hospital Medical Center

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Centinela Hospital Medical Center is a 369-bed acute-care hospital providing healthcare services.

Funding

Current Stage
Late Stage

Leadership Team

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Rosalba Cambria
Executive Assistant to CEO
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Company data provided by crunchbase