• Managed Care Collector

    TEKsystems (San Bernardino, CA)
    Description: The Collector performs A/R collections and billing via assigned special projects, involving multiple insurance contracts & entities. Verifies that ... preferred. Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.… more
    TEKsystems (09/15/24)
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  • Managed Care Variance…

    Highmark Health (Harrisburg, PA)
    …:** **GENERAL OVERVIEW:** This job is responsible for ensuring correct payments from payers with the goal of identifying payment variance and billing process issues ... to improve collections and cash receivables for AHN. **ESSENTIAL RESPONSIBILITIES:** + Reviews denials and payments in assigned work queues.Performs audits, adjusts accounts, and handles appeals process. (40%) + Identifies and prevents denial patterns with… more
    Highmark Health (08/20/24)
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  • Senior Medicare Medicaid Biller Collector

    Prime Healthcare (Inglewood, CA)
    …closure. Qualifications Education and Work Experience + Minimum of three years hospital managed care /commercial collector experience. + 2 years of recent ... Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Senior Medicare-Medicaid Biller/ Collector is responsible for both billing… more
    Prime Healthcare (07/28/24)
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  • Account Resolution Specialist

    Prime Healthcare (North Las Vegas, NV)
    …Qualifications Education and Work Experience + Minimum of four years hospital managed care /commercial collector experience required. + Bachelors degree ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
    Prime Healthcare (08/24/24)
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  • Account Resolution Specialist

    Prime Healthcare (Denville, NJ)
    …Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of four years hospital managed care /commercial collector experience required. 2. Bachelor's ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
    Prime Healthcare (09/12/24)
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  • Billing Specialist

    Prime Healthcare (Denville, NJ)
    …Qualifications Education and Work Experience + Minimum of four years hospital managed care /commercial collector experience preferred. + Bachelor's degree ... The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
    Prime Healthcare (09/07/24)
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  • Account Resolution Specialist - GCH

    Prime Healthcare (Garden City, MI)
    …Qualifications Education and Work Experience 1. Minimum of four years hospital managed care /commercial collector experience required.2. Bachelor's degree or ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
    Prime Healthcare (08/30/24)
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  • Senior Biller/ Collector

    Prime Healthcare (Anaheim, CA)
    …contract interpretation 4. Familiar with hospital billing requirements 5. Understanding of managed care payor contract and contract language 6. Working ... Founded in 1964, West Anaheim Medical Center is a 219-bed acute- care hospital dedicated to providing the community with high-quality, compassionate healthcare.… more
    Prime Healthcare (08/17/24)
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  • Senior Government Biller Collector

    Prime Healthcare (Ontario, CA)
    …of contract interpretation4. Familiar with hospital billing requirements5. Understanding of managed care payor contract and contract language6. Working ... Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Senior Government Payer Biller/ Collector is responsible for both billing and… more
    Prime Healthcare (07/17/24)
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  • Sr Medical Records Collector (Hybrid…

    Molina Healthcare (Long Beach, CA)
    …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQUIRED ... **Job Description** **Job Summary** Molina's HEDIS/Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working… more
    Molina Healthcare (09/06/24)
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