Prime Healthcare

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 Department : Medical Records Schedule : Full Time, 40 Hours, Days Facility : Central Maine Medical Center Location : Lewiston, Maine, 04240 Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities The Coder I reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to determine diagnoses and procedures as described by the physicians of record. Utilizing the International...

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

Prime Healthcare is seeking a Coder I for its Medical Records department. This full-time role involves reviewing and analyzing medical records to accurately code diagnoses and procedures using ICD-9 and CPT coding systems. The ideal candidate will have at least one year of coding experience in an acute care setting and the successful completion of college-level courses in relevant topics. Additional qualifications include certification or enrollment in coding programs. #J-18808-Ljbffr

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....

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...

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 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 Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient 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 Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

Overview Department: Pain Clinic/Pain Management Shifts Available: Days(No Weekends) Employment Type: Full Time Hours: 8-hour shift– 8:00 - 4:30 PM Location: Providence Medical Center Pain Clinic–Kansas City, KS We are seeking a Medical Office Supervisor ,also referred to asaClinic SupervisororHealthcare Office Supervisor.The Medical Office Supervisor oversees the daily operations ofone of our medicalclinics, including the work of both clerical and clinical staff. This role helps ensure patients receivetimely, courteous service while supporting efficient scheduling, communication, and revenue cycle processes. Responsibilities ***If you have experience inHealthcareleadership or Healthcare management, you are encouraged toapply!! Supervise and coordinate the daily activities of clerical and clinical staff Ensure patient appointments, questions, and concerns are handled promptly and professionally Monitor the clinic’s revenue cycle processes for accuracy and efficiency Maintain...

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...