Vendor Liaison

Prime Healthcare Management IncGarden City, MI
4d

About The Position

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen 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 Vendor Liaison is responsible to bill all insurance companies, workers’ compensationcarriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are codedaccurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintainsproficiency in medical terminology.

Requirements

  • Previous hospital experience as an admissions representative preferred.
  • Knowledge of medical terminology.
  • Knowledge of multiple insurance billing requirements and 1-2 years of billing experience.

Responsibilities

  • Bill all insurance companies, workers’ compensationcarriers, as well as HMO/PPO carriers.
  • Audits patient accounts to ensure procedures and charges are codedaccurate and corrects billing errors.
  • Able to identify stop loss claims, implants and missing codes.
  • Maintains proficiency in medical terminology.
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