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Prime Healthcare

Acquires and reorganizes underperforming hospitals

Data and Billing Coordinator - Pediatric Clinic

Clinical Support & Patient AdministrationUpdated on Nov 5
Part-timeLynwood, CA, USA$29.96In-person

About the Job

Requirements

  • A bachelor's degree in Computer Science or a related field is required.
  • Experience with Electronic Health Record (EHR) systems is required.
  • Working knowledge of Medi-Cal and/or third-party billing and reimbursement is required.
  • Knowledge of billing requirements and collection regulations for federal, state, and local agencies and third-party submissions is required.

Responsibilities

  • Gather, review, and approve internal billing claims.
  • Set up, verify, and update insurance account information and verify eligibility.
  • Prepare related billing claims data reports.
  • Coordinate medical billing claims submission via electronic data interface (EDI).
  • Act as liaison with the Los Angeles County Department of Mental Health and Medi-Cal.
  • Track and monitor billing claims and approvals.
  • Provide monthly report analysis to the Department Director and assist in preparing year-end final reports.
  • Coordinate activities related to the Electronic Health Record application, including user training, maintenance, application enhancement, developing new reports, and problem solving.
  • Act as liaison with the software vendor and lead trainer.

About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size
5,001-10,000
Company stage
Debt Financing
Total funding
$2.2B
Headquarters
Ontario, CA
Founded
2001

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