Prime Healthcare

Prime Healthcare, an award-winning health system based in Ontario, California, seeks a Senior Managed Care Biller/Collector to handle billing and collections across multiple payer types. You will gather information, follow payer guidelines, and attach documentation to professional fee claims to secure timely payments. You will use your knowledge of Medicaid/Medicare billing rules, contract interpretation, and hospital billing requirements to minimize denials and ensure accurate account closure. #J-18808-Ljbffr

Clinical Nursing SupervisorThe Clinical Nursing Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient...

Location: Redding, California, United StatesCompany: Prime HealthcarePosted: 2026-08-09Prime Healthcare - - Responsibilities: Submit claims to intermediaries; Obtain payer authorizations for processing; Follow-up and denial management; Code diagnosis and procedures (ICD-10, CPT, HCPCS, DRG); Communicate with clients and staff

Prime Healthcare is seeking an Inpatient Coder Auditor to review documentation for inpatient visits and ensure accurate ICD-10-CM, CPT, and HCPCS coding. The senior role emphasizes DRG validation and primary responsibility in assisting CDS and medical staff to improve the quality of clinical documentation. You will participate in chart review projects as assigned and other duties as needed, requiring a strong grasp of DRGs, anatomy, and medical terminology, along with encoder software experience #J-18808-Ljbffr

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications...

Medical Office Supervisor We are seeking a Medical Office Supervisor, also referred to as a Clinic Supervisor or Healthcare Office Supervisor. The Medical Office Supervisor oversees the daily operations of one of our medical clinics, including the work of both clerical and clinical staff. This role helps ensure patients receive timely, courteous service while supporting efficient scheduling, communication, and revenue cycle processes. Responsibilities Supervise and coordinate the daily activities of clerical and clinical staff Ensure patient appointments, questions, and concerns are handled promptly and professionally Maintain clear communication between front desk staff and providers regarding schedule changes and patient issues Report to and support the Practice Manager or Director with clinic operations Assists medical staff with outgoing referrals. Qualifications Minimum of two years medical group experience required. Healthcare leadership/management...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Paradise Valley Hospital is the South Bay’s oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features theSan Diego Spine & Joint Center, a highly credentialed acuterehabilitation center, ourParadise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services. In addition to...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Group, affiliated with Shasta Regional Medical Center, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members....

Shasta Regional Medical Group, affiliated with Shasta Regional Medical Center, seeks an experienced Biller to handle claim submissions, coding compliance, and follow-up for denials. You will coordinate authorizations, maintain demographic data, and ensure government program requirements are met. The role emphasizes clear communication with clients, adherence to productivity standards, and proficiency in EMR/PM billing software, with full-time daytime shifts in a clinically oriented setting. #J-18808-Ljbffr

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Corporate Medical Staff Supervisor will oversee and coordinate the credentialing process within the Medical Staff Offices across the Prime Healthcare system as assigned and will report directly to the Corporate Executive Director of Medical Staff Services. This role will involve managing and mentoring a team of Medical Staff Coordinators, ensuring the efficient processing of initial applications and interim...

Prime Healthcare is seeking a Corporate Medical Staff Supervisor to oversee the credentialing process across our IL facilities. You will lead a team of Medical Staff Coordinators, ensure timely initial applications and interim privileges, and maintain clear communication with medical staff committees and hospital services. This on-site role travels among Illinois facilities and is not remote. The position emphasizes regulatory compliance, accuracy in credentialing, and supporting high-quality #J-18808-Ljbffr

Job Title Biller Job Description Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Group, affiliated with Shasta Regional Medical Center, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and...

Prime Healthcare - - Responsibilities: Submit claims to intermediaries; Obtain payer authorizations for processing; Follow-up and denial management; Code diagnosis and procedures (ICD-10, CPT, HCPCS, DRG); Communicate with clients and staff

Medical Billing SpecialistPrime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!The Medical Billing Specialist is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.Minimum of four years hospital managed care/commercial collector experience required. Bachelor's...

OverviewWe are seeking aMedical Surgical Clinical RN Supervisor,sometimes referred to as our Med Surg Clinical Nurse Supervisor or Med Surg Clinical House Supervisor. The Medical Surgical Clinical RN Supervisor is responsible for leading and coordinating activities on the Med-Surg unit to promote high-quality, patient-centered care. The Med Surg RN Supervisor will direct staff assignments, oversee patient admissions and discharges, and guide nursing teams in delivering best practices while upholding all hospital and regulatory requirements.Shifts Available:DaysEmployment Type:Full-timeHours:8 hour shiftsLocation:Harlingen Medical Center - Harlingen, Texas If you have experience as an RN Supervisor in any department, you are encouraged to apply!ResponsibilitiesEssential Duties and Responsibilities (includes, but not limited to):Supervise daily operations of the Medical-Surgical unit to ensure safe, efficient patient care deliveryAssign and adjust nursing staff based on patient...