Senior Managed Care Biller/Collector

The Senior Managed Care 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 managed care.

What You Will Do

Maintaining deficiency lists, resolving claim rejections, packaging claims, performing proactive follow up with payers and other entities, and securing payment of accounts.

Why It Might Be a Fit

The ideal candidate will have a minimum of three years of hospital managed care/commercial collector experience, with knowledge of contract interpretation, hospital billing requirements, out of state Medicaid billing guidelines, and basic managed care, Medicaid/Medicare billing rules, regulations, and deadlines.

Requirements

• Minimum of three years hospital managed care/commercial collector experience
• 2 years of recent hospital managed care 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 managed care, 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.

Benefits

• Paid time off
• 401K retirement plan
• Medical, dental, and vision coverage
• Tuition reimbursement
• Voluntary benefit options