Claims Coordinator

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen 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!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

The Claims Coordinator is responsible for overseeing the claims escalation process and maintaining effective communication with healthcare payors. This role requires a meticulous attention to detail, a thorough understanding of healthcare billing and collections processes, and the ability to ensure that claims are accurately processed and escalated in a timely manner.

EDUCATION, EXPERIENCE, TRAINING

* Bachelor's degree in Healthcare Administration, Finance, or a related field required. Equivalent experience may be considered in lieu of a degree.

* At least 2-3 years of experience in a claims handling role within a healthcare or insurance setting.

* Comprehensive knowledge of medical billing and collections procedures and regulations.

* Exceptional organizational and multitasking abilities.

* Proficient in medical billing software and database management.

* Proficient in Microsoft Office applications with a focus in Excel and Word.

* Excellent interpersonal, negotiation, and conflict resolution skills.

* Ability to work independently and as part of a team, with a proactive approach to resolving issues and improving processes.

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