Demo

SENIOR MEDICARE MEDICAID BILLER COLLECTOR

Prime Healthcare
CA Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 5/29/2025

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 nation’s 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 :

Privacy Notice for California Applicants :

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.

  • This role is based full time in office.

LI-VR2 #Onsite

Education and Work Experience

  • 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.
  • 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 $21.00 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.

    Salary : $21 - $38

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a SENIOR MEDICARE MEDICAID BILLER COLLECTOR?

    Sign up to receive alerts about other jobs on the SENIOR MEDICARE MEDICAID BILLER COLLECTOR career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $42,871 - $52,898
    Income Estimation: 
    $61,395 - $78,649
    Income Estimation: 
    $70,260 - $96,497
    Income Estimation: 
    $87,332 - $121,163
    Income Estimation: 
    $123,711 - $168,798
    Income Estimation: 
    $45,179 - $57,594
    Income Estimation: 
    $50,843 - $65,310
    Income Estimation: 
    $123,711 - $168,798
    Income Estimation: 
    $50,843 - $65,310
    Income Estimation: 
    $55,504 - $73,335
    Income Estimation: 
    $123,711 - $168,798
    Income Estimation: 
    $49,247 - $66,615
    Income Estimation: 
    $57,949 - $80,705
    Income Estimation: 
    $64,055 - $88,760
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Prime Healthcare

    Prime Healthcare
    Hired Organization Address NV Full Time
    As a long-standing community partner with a 114-year history, Saint Mary’s Health Network offers Northern Nevada inpatie...
    Prime Healthcare
    Hired Organization Address Kansas, MO Full Time
    Overview There is a lot going on in Talent Acquisition at Prime Healthcare. We aregrowingandexpandingour dynamic TA staf...
    Prime Healthcare
    Hired Organization Address Garden, MI Full Time
    Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and c...
    Prime Healthcare
    Hired Organization Address Inglewood, CA Full Time
    The Manager of Social Services offers comprehensive clinical supervision and social services expertise. Oversee clinical...

    Not the job you're looking for? Here are some other SENIOR MEDICARE MEDICAID BILLER COLLECTOR jobs in the CA area that may be a better fit.

    SENIOR MEDICARE MEDICAID BILLER COLLECTOR

    Mission Regional Medical center, CA

    Senior Medicare Medicaid Biller Collector

    Mission Regional Medical center, Ontario, CA

    AI Assistant is available now!

    Feel free to start your new journey!