Job Listings

Presbyterian is seeking a Nurse Advice Line - Clinical Triage.   The Nurse Advice Line performs clinical triage and review of inbound member and patient calls to the PHP Nurse Advice Line to ensure that services rendered to customers meet clinically appropriate direction and triage. Utilizes clinical skills to coordinate, document, and communicate all aspects of the appropriate clinical advice and triage based on criteria and in adherence to adopted protocols. Clinical triage includes all levels of acuity of medical presentations. Assists callers and members with coordination of care to in plan providers and appropriate urgent and emergent care. Validates...

Presbyterian is seeking a Patient Access Advocate I to support in our Emergency Department.   The Patient Access Advocate I-ED 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...

Presbyterian is seeking a Patient Access Advocate I to support in our Emergency Department.   The Patient Access Advocate I-ED 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...

Presbyterian is seeking a Patient Access Advocate I to support in our Emergency Department.   The Patient Access Advocate I-ED 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...

Presbyterian is seeking a Patient Access Advocate I to support in our Emergency Department.   The Patient Access Advocate I-ED 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...

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...

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 compassionate and dedicated Certified Nursing Assistants (CNAs) to join our inpatient care team. As a CNA, you will provide essential nursing care to our patients, ensuring their comfort and well-being. Your role is crucial in supporting our nursing staff and maintaining a high standard of patient care. Performs specific patient care procedures (such as basic wound care and catheter maintenance) and tasks under the direction of the RN All procedures, duties, and tasks are to be completed under the patients...

In direct coordination with the Revenue Management Department performs the following functions - Proactive daily audits of patient billing. Identifies, determines and executes actions for discrepancies. Initiates the billing processes for administration (procedures), drugs and equipment used in the care of patients. Responsible for identifying and facilitating CDM adjustments in response to Medicare, 3rd party and other payer regulations and ensuring compliant CPT4, ICD9 and HCPCS coding Monitor changes in the Federal Register relating to reimbursement of services/products provided. Maintain financial health of this service   Plains Regional Medical Center, Cancer Center - Clovis,...

Presbyterian Hospital is seeking a Cardiovascular Invasive LabNursing Tech to perform specific patient care procedures (such as, phlebotomy, wound care, gastric and urethral tube insertion and 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  -

Under the supervision of the Respiratory Medical Director provides cardiopulmonary diagnostic and respiratory therapeutic support for patients in the Hospital and/or outpatients that require cardiopulmonary diagnostic testing, respiratory treatment, and/or ventilatory support. Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: 12 Hour Nights

Presbyterian Hospital 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...

Presbyterian Healthcare Services is hiring a Registrar to manage patient accounts, verify demographic information, prevent duplicate records, and provide excellent customer service. Typeof Opportunity: Per Diem FTE: .001 Exempt: No

Presbyterian is seeking a Quality Outreach Interventionist This position serves as a key member of the Centralized Outreach & Engagement team, responsible for advancing Quality, Risk Adjustment, and Medicare STARS performance through high-level coordination and member relationship management. This position manages a panel of members to support Annual Wellness Visit scheduling, HCC documentation, and first-year Medicare Advantage retention. This position also conducts specialized outreach to address risk adjustment and satisfaction drivers, such as CAHPS and HOS measures, while providing concierge-level support to help members navigate benefits, providers, and community resources. In collaboration with Clinical...

Presbyterian is seeking 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 the highest level of customer service to...

Presbyterian is seeking a Premium Billing Analyst Under general supervision, executes all functions and analysis with regard to billing and collection activities for Small and Large groups, Self-Billed, ASO Groups, and Medicare line of business. Performs complex account reconciliation, resolution of discrepancies, and processing of member and group terminations resulting from account reconciliation. Provides exceptional customer service with internal and external customers. Performs monthly invoice audits of new and existing groups. Functions as back up for Urgent Member Issues and Hot Phone call - This is a Full Time position - Exempt: No - Job is based at Rev Hugh Cooper Admin Center - Work...

Provides phlebotomy and other collection procedures. Orders tests, processes patient specimens, and performs quality control. Performs waived or moderate complexity testing based on established procedures. Clerical duties and equipment maintenance. Provides general assistance to clinical floor staff as needed. Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: 12 Hour Nights

Performs advanced patient care within scope of State licensure as well as PHS approved Paramedic Scope of Practice in the emergency department setting. Receives emergency medical telephone calls and provides emergency care to injured or ill patients. Type of Opportunity: Full Time FTE: 0.900000 Exempt: No Work Schedule: 12 Hour Nights

PresNow is seeking a dedicated and compassionate Ultrasound Technologist to join our dynamic imaging team. This role is ideal for a candidate with experience as a general sonographer who is eager to expand their skillset into vascular imaging. We offer comprehensive training in vascular ultrasound to support your professional growth. Key Responsibilities: - Perform high-quality general ultrasound exams, including but not limited to: - Abdominal - OB/Gyn - Small parts - Perform vascular ultrasound exams (training provided), including: - Lower Extremity Venous (LEV) - Lower...

Performs diagnostic medical radiographics. Participates in CIT teams as necessary. Is knowledgeable regarding hospital policies and procedures Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Varied Days and Hours