Medical Claims Specialist

2 days ago


Ontario, California, United States Prime Healthcare Full time

Prime Healthcare, a leading health system in the United States, is seeking a skilled Senior Medicare Medicaid Biller Collector to join our team. This role is responsible for ensuring accurate and timely billing and collections of medical claims.

The ideal candidate will have a minimum of three years of experience in hospital managed care/commercial collector roles, as well as 2 years of recent hospital Medicare billing experience in an automated environment. A strong understanding of contract interpretation, hospital billing requirements, and out-of-state Medicaid billing guidelines is essential.

This full-time position is based in our Ontario, CA office and offers a competitive salary range of $21.00 to $42.56 per hour, including estimated wages, benefits, and other forms of compensation. Prime Healthcare provides a comprehensive benefits package that includes paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.

Key responsibilities of this role include gathering and securing information needed for billing, follow-up, and payment of accounts, resolving claim rejections, packaging claims, and performing proactive follow-up with payers and other entities. The successful candidate will be accountable and responsible for billing through account closure.

If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.



  • Ontario, California, United States Prime Healthcare Management Inc Full time

    Job Title: Vice President, Health Plan Claims and OperationsPrime Healthcare Management, Inc. is seeking a highly skilled and experienced Vice President to lead our Health Plan Claims and Operations team. This is a critical role that requires a strong understanding of healthcare operations, claims management, and strategic planning.Responsibilities:Develop...


  • Ontario, California, United States Prime Healthcare Full time

    Job SummaryThe Senior Medicare-Medicaid Biller/Collector is a critical role at Prime Healthcare, responsible for ensuring timely and accurate billing and collections for patients. This position requires a high degree of organization, attention to detail, and effective communication skills.About Prime HealthcarePrime Healthcare is an award-winning health...


  • Ontario, California, United States Prime Healthcare Full time

    OverviewPrime Healthcare is a leading health system headquartered in California, operating 45 hospitals and over 300 outpatient locations across 14 states. Our award-winning healthcare services provide more than 2.6 million patient visits annually, making us one of the nation's largest health systems.We are an Equal Opportunity Employer and do not...


  • Ontario, California, United States Prez Law, PC Full time

    Job SummaryPerez Law, PC is seeking an experienced Workers' Compensation Applicant Attorney to manage a caseload of workers' compensation cases, provide exceptional representation for injured workers, and ensure efficient, ethical, and client-centered legal advocacy.Key ResponsibilitiesRepresent clients in all aspects of their workers' compensation claims,...


  • Ontario, California, United States AMR Full time

    We are seeking a skilled Emergency Medical Care Specialist to join our team at American Medical Response (AMR). As an EMT-Basic, you will provide high-quality emergency medical care and services, utilizing advanced medical equipment and procedures. Your role will involve evaluating call situations, performing critical assessments, and communicating...


  • Ontario, California, United States AMR Full time

    The Medical Care Specialist - Emergency Response role at AMR is a rewarding position that requires delivering high-quality emergency medical services. This includes providing both basic and advanced patient care during medical emergencies. The ideal candidate will be responsible for assessing call situations, utilizing various medical equipment, and...


  • Ontario, California, United States Alliance Medical Staffing Full time

    Job Title: Nuclear Medicine Imaging SpecialistWe are seeking a skilled Nuclear Medicine Imaging Specialist to join our team at Alliance Medical Staffing. This is a travel position available in Ontario, California.About the JobThis 13-week contract role will require the successful candidate to work 40 hours per week, with 8-hour shifts during the day. The pay...


  • Ontario, California, United States AMR Full time

    Are you passionate about delivering compassionate, high-quality patient care? AMR is hiring Paramedics to join our team. As an Advanced Medical Care Specialist, you will provide basic and advanced medical care to patients in emergency situations.We are committed to providing the best possible care to our customers, and we believe that starts with having a...


  • Ontario, California, United States AMR Full time

    AMR is a leading provider of emergency medical services, delivering high-quality care to patients in need. As an Emergency Medical Care Specialist with our team, you will play a critical role in ensuring the well-being of our customers.Job SummaryWe are seeking experienced Paramedics who are passionate about delivering compassionate, high-quality service and...


  • Ontario, California, United States AMR Full time

    Job Summary:AMR is seeking a highly skilled Medical Professional to join our team as an Emergency Response Specialist. This role involves providing high-quality emergency medical care and services, utilizing advanced medical equipment and procedures.About the Role:This position requires a strong understanding of patient care and ability to work effectively...


  • Ontario, California, United States HNTB Corporation Full time

    HNTB Corporation is seeking a highly skilled and detail-oriented Administrative Support Specialist to join our team. As an administrative support specialist, you will provide critical support to our managers and department staff, ensuring that our day-to-day operations run smoothly.In this role, you will have the opportunity to utilize your technical skills,...


  • Ontario, California, United States Sevita Full time

    At Sevita, we believe that everyone deserves to live a full, more independent life. As a Compassionate Care Specialist, you will be part of our mission-driven team providing community-based services for individuals with intellectual and developmental disabilities.About the RoleWe are seeking a dedicated individual to join our team as a Compassionate Care...


  • Ontario, California, United States Caliber Collision Repair Services Full time

    We are seeking an Automotive Coating Specialist to join our team at Caliber Collision Repair Services. This is a rewarding role where you will be responsible for preparing and mixing paint colors, ensuring accurate formulations.Job Summary:Preparation and mixing of paint colorsEnsuring accurate formulationsMaintenance of a clean and organized workspaceAbout...


  • Ontario, California, United States Cintas Full time

    Unlock your potential as a Product Development and Innovation Specialist">Cintas is seeking a skilled professional to join our team and drive product development initiatives. As a Product Development and Innovation Specialist, you will be responsible for identifying new product opportunities within our existing customer base.">Your key responsibilities will...


  • Ontario, California, United States DaVita Inc. Full time

    DaVita Inc., a clinical leader in dialysis care, seeks an experienced Registered Nurse to join its team as a Renal Care Specialist. The ideal candidate will have a passion for delivering compassionate patient care and be committed to improving health outcomes through quality improvement initiatives.About the RoleThis is a rewarding opportunity for a skilled...


  • Ontario, California, United States All Pro Plumbing Heating & Air Full time

    Company OverviewAll Pro Plumbing Heating & Air, a top-notch contractor based in Southern California, has been providing exceptional value to its residential customers for over 30 years. Our commitment to excellent service and company culture has led to steady growth, and we prioritize treating our teams like family. This approach enables us to deliver...


  • Ontario, California, United States Element Ontario Airport Full time

    Job SummaryWe are seeking a dedicated Housekeeper Specialist to join our team at Element Ontario Airport. As a key member of our housekeeping staff, you will play a vital role in maintaining the cleanliness and comfort of our guest rooms and public areas.Duties and Responsibilities:Deep clean and maintain the highest standards of cleanliness in guest rooms,...


  • Ontario, California, United States SitelogIQ Full time

    Job OverviewSitelogIQ Commercial & Industrial (C&I) is a leading provider of energy efficiency and property improvement programs that transform built environments and drive sustainability, financial, and ESG goals of real estate teams and corporations across the U.S.The Electrical Installation Specialist role is critical to the execution of our projects,...


  • Ontario, California, United States NFI Industries Full time

    Job Title: Turret Equipment SpecialistOverview:The Turret Equipment Specialist position is responsible for handling all put-away, replenishment, picking, and inventory control functions in the VNA sections of the warehouse. This role requires extreme safety awareness, understanding of WMS as it relates to turret operator tasks, and a commitment to inventory...


  • Ontario, California, United States Bausch Health Full time

    Company OverviewBausch Health Companies Inc. is a global, diversified pharmaceutical company dedicated to delivering better health outcomes through innovative products and services.About the RoleWe are seeking an experienced Medical Science Liaison (MSL) to join our team in Ontario East and Atlantic. As an MSL, you will play a vital role in supporting Key...