Senior Managed Care Biller/Collector Job at St. Joseph Medical Center
Overview:
At St. Joseph Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!
Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.
St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com.
Responsibilities:
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.
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.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
1. Minimum of three years hospital managed care/commercial collector experience
2. 2 years of recent hospital managed care billing experience in an automated environment
3. Associates degree or equivalent work experience required
4. Knowledge of contract interpretation
5. Familiar with hospital billing requirements
6. Knowledge of out of state Medicaid billing guidelines
7. Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline
8. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.
#LI-DV1 #PatientAccount #Hospital
We 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
#LI-EG2
#Managed Care #billing #collections #payment of accounts #resolving claims #commercial collector #hospital billing #Medicaid #Epic
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
At St. Joseph Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!
Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.
St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com.
Responsibilities:
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.
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.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
1. Minimum of three years hospital managed care/commercial collector experience
2. 2 years of recent hospital managed care billing experience in an automated environment
3. Associates degree or equivalent work experience required
4. Knowledge of contract interpretation
5. Familiar with hospital billing requirements
6. Knowledge of out of state Medicaid billing guidelines
7. Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline
8. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.
#LI-DV1 #PatientAccount #Hospital
We 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
#LI-EG2
#Managed Care #billing #collections #payment of accounts #resolving claims #commercial collector #hospital billing #Medicaid #Epic
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.