Job Listings

Presbyterian is seeking a talented Coder-Healthcare Fraud Investigator.   The SIU Investigator III supports Program Integrity efforts at Presbyterian Health Plan by conducting complex investigations into suspected healthcare fraud, waste, or abuse across providers, pharmacies, employees, members, and brokers. Responsibilities include reviewing medical records, identifying improper billing or coding practices, interviewing involved parties, coordinating overpayment recovery, and educating on documentation standards. Ideal candidates bring strong experience in healthcare claims investigations, especially within Medicaid, Medicare, Marketplace, and commercial health plans. - This is a...

Presbyterian is seeking a talented Coder-Senior Healthcare Fraud Investigator The Senior Investigator supports the Program Integrity Manager and department investigators. This role assists with developing, implementing, and performing fraud, waste, and abuse related auditing and monitoring activities. This includes the identification, investigation and correction of fraudulent, wasteful, and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements. The Senior Investigator must develop excellent professional relationships with internal and...

Presbyterian is seeking a Workday Finance Analyst Uses analytical, technical, and problem-solving skills to support, maintain, and optimize the Workday Financials system. Partners with Finance, Supply Chain, HR, and IT stakeholders to ensure Presbyterian Healthcare Services financial processes are efficient, compliant, and aligned with organizational needs. This role requires hands-on experience with Workday Finance configuration, with emphasis on modules such as General Ledger, Accounts Payable, Accounts Receivable, Procurement, Grants, Projects, and Expenses. The analyst will provide best practice guidance, resolve system issues, and deliver solutions that support Presbyterians...

Presbyterian is seeking an Assistant Privacy Officer to participate in and support ongoing activities related to the development, implementation, maintenance of the organization's Privacy Program. Support the Presbyterian Healthcare Services (PHS) Privacy Officer in furthering the PHS commitment to protecting the health information privacy and confidentiality of patients, members, and other members of the PHS community. Participates in and supports ongoing activities related to the development, implementation, maintenance of the organization's Privacy Program in order to ensure the protection of patient and member protected health information and other sensitive information in accordance with federal and state laws, other privacy laws...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Presbyterian is seeking a Patient Access Account Specialist I   The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Now hiring a Patient Access Advocate I   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Now hiring a Patient Access Advocate I   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the...

Now hiring a Patient Access Advocate I   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the...

Now hiring a Patient Access Advocate I-ED   The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide...

Presbyterian is seeking a Provider Enrollment Coordinator to process health plan payer provider enrollment applications for all PHS system-wide employed or contracted healthcare providers as needed. Along with the Provider Enrollment Manager, directs the PHS system wide provider enrollment process to assure the ability to bill for all employed, contracted health care providers for whom PHS has accepted responsibility. Generates, processes, and assures completion of provider enrollment applications with various health plans with which PHS is contracted in order to assure the ability to bill for provider services. Directs the enrollment process for employed, contracted health care providers and any others as identified by management. Keeps in...

Presbyterian is seeking a skilled Food Service Aide   The Food Service Aide participates in the assembly and delivery of food services to customers, while maintaining quality and sanitation standards.   - This is a Full Time position - Exempt: No - Job is based at Presbyterian Hospital - Work hours: Days Ideal Candidate: Has at least one year of experience in both customer service and food service. Must be at least 16 years of age to be eligible for consideration.

Presbyterian is seeking a Food Service Aide Participates in the assembly and delivery of food services to customers, while maintaining quality and sanitation standards - This is a Full Time position - Exempt: No - Job is based at Presbyterian Hospital - Work hours: Varied Days and Hours Ideal Candidate: Less than high school. Less than one year experience in customer service or food service environment.Minimal legal age for consideration is 16

Presbyterian is a seeking a Child Life Assistant an enthusiastic, dynamic, and self-motivated child life assistant to join our team. The Child Life Assistant will be responsible for managing the playroom, and facilitating interactions of children between peers, volunteers, and students in the playroom. - This is a Per Required Need position - Exempt: No - Job is based at Presbyterian Hospital - Work hours: Weekday Schedule Monday-Friday Ideal Candidate: If you have experience working with children, an associate degree in a related field, and current or pending BLS certification...

Summary: To plan, coordinate and control specific operations within designated department. Responsible for the maintaining of all processes and systems within the department and the coordination and supervision of personnel within the designated department Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Weekday Schedule Monday-Friday

Presbyterian is seeking a Unit Secretary/Nurse Tech for the Cardiac Progressive Care Unit to perform secretarial/clerical duties while acting as a communication center for the nursing unit. Performs specific patient care procedures (such as bedside testing) under the direction of a licensed Nurse and / or performs specific support-procedures for the operation of a Nursing or Clinical Department. Operates patient monitoring systems   How you grow, learn and thrive matters here.  - Educational and career development options, including tuition and certification reimbursement, scholarship opportunities 

Presbyterian is seeking a Remote Workday HCM Analyst Uses analytical, technical and problem-solving skills to consult on and facilitate the delivery of the HR software development life cycle through analysis, design, development, testing and implementation. Partners with organizational stakeholders to facilitate the exchange of HR information through various channels. This role requires hands-on experience with Workday HCM configuration and business consulting, with emphasis on Core HR, Compensation, Recruiting, Reporting, and/or Talent modules. This role also needs experience in business consulting to provide best practice solutions & advice to the HCM clients...

Presbyterian is seeking a Medical Assistant to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the visit, maintaining efficient patient flow, assisting the provider with treatments and procedures, medication administration, support for clerical functions to include scheduling, referrals, authorization and in-basket support with the EMR.   Type of Opportunity: Full Time...