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Prime Healthcare: Biller Collector

Company: Prime Healthcare
Location: Buena Park
Posted on: November 12, 2021

Job Description:

Responsibilities:The Biller/ Collector is responsible to bill and collect on their assigned payor(s) (Medicare, Medi-Cal, Workers compensation, HMO, PPO, IPA). Audits patient accounts to ensure procedures and charges are coded accurately for clean claims and corrects billing errors. Able to bill Interim Claims accurately. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller/Collector is responsible for the follow-up performed on insurance balances or self pay as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Maintains the M7 reports to a minimum with only problem accounts with a solution to avoid in future accounts. Obtains updated demographic information and all necessary information needed to comply with insurance billing/collection requirements and shares with management and team members. Operates computer to input follow up notes and retrieve collection and patient information. Able to write effective appeals to insurance companies. Is proficient with Excel and Word. Team player and Positive outlook.#LI-CC1Qualifications:Education and Work Experience1. Knowledge of multiple insurance billing/collection requirements with 1-2 years of experience2. Effective written and verbal communication skills3. Ability to multi-task, prioritize needs to meet required timelines4. Analytical and problem-solving skills5. Excellent Customer Services skills with team and customers experience required6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)7. Intermediate skills of Excel and WordWe are an Equal Opportunity/Affirmative Action 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. EEO is the Law: https://www.Eeoc.Gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.Pdf

Keywords: Prime Healthcare, Buena Park , Prime Healthcare: Biller Collector, Healthcare , Buena Park, California

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