Shasta Regional Medical Center
Sr Medicare Medicaid Biller Collector
Shasta Regional Medical Center, Redding, California, United States, 96001
Join to apply for the
Sr Medicare Medicaid Biller Collector
role at
Shasta Regional Medical Center
Overview Shasta Regional Medical Center, a member of Prime Healthcare, offers an award-winning team of dedicated professionals committed to quality, compassion, and community. The hospital is a 226-bed acute care facility serving Northern California, recognized among the nation’s 50 Top Cardiovascular Hospitals by Watson Health and holding an ‘A’ Grade from Leapfrog. It is Joint Commission Certified for Stroke, Hip/Knee and Diabetes, and a Five Star recipient for treatment of heart failure and respiratory failure.
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 payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid.
Maintain deficiency lists used to obtain missing documents from internal or external entities, resolve claim rejections, package claims (including global billing with attachments of professional fee claims).
Perform proactive follow‑up with payers and other entities to secure payment of accounts.
Accountable for billing through account closure.
Qualifications
Minimum of three years hospital managed care/commercial collector experience.
Two years of recent hospital Medicare billing experience in an automated environment.
Associate’s degree or equivalent work experience required.
Knowledge of contract interpretation, hospital billing requirements, out‑of‑state Medicaid billing guidelines, and basic Medicaid/Medicare billing rules, regulations, and deadlines.
Experience with all payer types—commercial, governmental, Medicare, Medicaid, HMO, etc.—and ability to crossover into different payers.
Pay Transparency Competitive compensation and a comprehensive benefits package that includes paid time off, a 401(k) retirement plan, medical, dental, vision coverage, tuition reimbursement, and other voluntary benefits. Estimated wages are $XX.00 to $XX.00.
Employment Status Full Time
Shift Days
Equal Employment Opportunity Company is an equal employment opportunity employer and prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Harassment of applicants or employees based on these protected categories is also prohibited. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice 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
#J-18808-Ljbffr
Sr Medicare Medicaid Biller Collector
role at
Shasta Regional Medical Center
Overview Shasta Regional Medical Center, a member of Prime Healthcare, offers an award-winning team of dedicated professionals committed to quality, compassion, and community. The hospital is a 226-bed acute care facility serving Northern California, recognized among the nation’s 50 Top Cardiovascular Hospitals by Watson Health and holding an ‘A’ Grade from Leapfrog. It is Joint Commission Certified for Stroke, Hip/Knee and Diabetes, and a Five Star recipient for treatment of heart failure and respiratory failure.
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 payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid.
Maintain deficiency lists used to obtain missing documents from internal or external entities, resolve claim rejections, package claims (including global billing with attachments of professional fee claims).
Perform proactive follow‑up with payers and other entities to secure payment of accounts.
Accountable for billing through account closure.
Qualifications
Minimum of three years hospital managed care/commercial collector experience.
Two years of recent hospital Medicare billing experience in an automated environment.
Associate’s degree or equivalent work experience required.
Knowledge of contract interpretation, hospital billing requirements, out‑of‑state Medicaid billing guidelines, and basic Medicaid/Medicare billing rules, regulations, and deadlines.
Experience with all payer types—commercial, governmental, Medicare, Medicaid, HMO, etc.—and ability to crossover into different payers.
Pay Transparency Competitive compensation and a comprehensive benefits package that includes paid time off, a 401(k) retirement plan, medical, dental, vision coverage, tuition reimbursement, and other voluntary benefits. Estimated wages are $XX.00 to $XX.00.
Employment Status Full Time
Shift Days
Equal Employment Opportunity Company is an equal employment opportunity employer and prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Harassment of applicants or employees based on these protected categories is also prohibited. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice 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
#J-18808-Ljbffr