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Prc Health Jobs (NOW HIRING)

Omaha Tribe of Nebraska

PRC Clerk

Macy, NE · On-site

$24 - $25/hr

Curtis Health Education Center SUMMARY: The primary purpose of this positon is to provide technical assistance to the Health Center Director in carrying out the PRC services. To supervise and ...

Omaha Tribe of Nebraska

PRC Clerk

Macy, NE · On-site

$24 - $25/hr

Curtis Health Education Center SUMMARY: The primary purpose of this positon is to provide technical assistance to the Health Center Director in carrying out the PRC services. To supervise and ...

Searhc

Medical Claims Specialist

Juneau, AK

$25 - $28.45/hr

Maintains good vendor relations, works closely and follows up with accounts payable while maintaining compliance with all Federal, State, Tribal Health, and SEARHC PRC guidelines and regulations.

Mohican Youth Academy

PRC Assistant

Bowler, WI · On-site

$16/hr

Must submit to and pass a pre-employment drug and health screening. * Must be at least 18 years of ... Oversee the functions of PRC Department in absence of PRC Manager. * Obtain detailed client ...

Mohican North Star

PRC Assistant

Bowler, WI · On-site

$16/hr

Must submit to and pass a pre-employment drug and health screening. * Must be at least 18 years of ... Oversee the functions of PRC Department in absence of PRC Manager. * Obtain detailed client ...

Freeman Health System

Biller-PRC

Joplin, MO · On-site

$16.25 - $21/hr

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. About Us - Physician Reimbursement Center (PRC) * Located inside the ...

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How much do prc health jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for prc health in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What are PRC Health professionals?

PRC Health professionals typically refer to individuals who are licensed and registered by the Professional Regulation Commission (PRC) in the Philippines to practice in various health-related fields. This includes doctors, nurses, pharmacists, medical technologists, and other allied health professionals. Their role is to provide quality healthcare services, ensure public health and safety, and adhere to the ethical and professional standards set by the PRC. They must pass licensure examinations and fulfill continuing education requirements to maintain their registration.

What are some common challenges faced by PRC Health professionals, and how can they be addressed?

PRC Health professionals often encounter challenges such as managing high patient volumes, adapting to rapidly changing healthcare regulations, and coordinating care across multidisciplinary teams. To address these challenges, it's essential to develop strong communication and organizational skills, stay updated on policy changes, and actively participate in team meetings to streamline care delivery. Effective collaboration with colleagues and ongoing professional development can significantly ease the transition into this dynamic work environment.

What are the key skills and qualifications needed to thrive as a Public Relations Coordinator in the health sector, and why are they important?

To thrive as a Public Relations Coordinator in the health sector, you need strong communication skills, media relations experience, and a relevant degree in communications, public relations, or a health-related field. Familiarity with media monitoring tools, content management systems, and social media platforms is typically required. Excellent organizational skills, creativity, and the ability to handle sensitive information with discretion help professionals stand out. These skills are crucial for effectively managing the organization's public image, disseminating accurate health information, and building trust with stakeholders.

What is the difference between Prc Health vs Medical Assistant?

AspectPrc HealthMedical Assistant
CertificationsOften requires specific health certifications or licenses depending on stateTypically requires CMA or RMA certification
Work EnvironmentPrimarily in clinics, hospitals, or healthcare facilitiesIn clinics, hospitals, and outpatient settings
Job ResponsibilitiesOversees health programs, manages patient records, and ensures complianceAssists with patient care, takes vital signs, and administrative tasks

Practical health professionals (Prc Health) focus on managing health programs and compliance, while Medical Assistants primarily support patient care and administrative duties. Both roles work in healthcare settings but differ in scope and certification requirements.

More about Prc Health jobs
What states have the most Prc Health jobs? States with the most job openings for Prc Health jobs include:
What job categories do people searching Prc Health jobs look for? The top searched job categories for Prc Health jobs are:
Prc Health jobs near you
Infographic showing various Prc Health job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $51,083 per year, or $24.6 per hour.
Medical Claims Specialist

Medical Claims Specialist

Southeast Alaska Regional Health Consortium

Juneau, AK • On-site

$25 - $28.45/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Southeast Alaska Regional Health Consortium rating

8.2

Company rating: 8.2 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Pay Range:$25.00 - $28.45Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of medical claims into the PRC claims processing package while providing excellent customer service to claimants and vendors. Maintains good vendor relations, works closely and follows up with accounts payable while maintaining compliance with all Federal, State, Tribal Health, and SEARHC PRC guidelines and regulations.
Must work independently making judgment calls when supervisor is not available. Position requires the ability to sit for long periods of time in front of a computer terminal. Mental fatigue exists with the high level of concentration necessary to properly process medical claims for payment accurately and timely. The employee must be able to work under stressful conditions. The PRC office maintains copies of each individual patient record as required by law and SEARHC policy and this position ensures that requirement is met. May occasionally encounter verbal abuse from customers or family members.
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
  • Clerical duties such as answering p hone, greeting patients and visitors, sending/receiving faxes, responsible for incoming and outgoing mail and responsible for security of all these forms of communication for patient confidentiality. Responsible for maintaining files including purging and shredding documents as needed and initiating and processing of denial and other letters as delegated by lead medical claims specialist. Review and screen all medical and dental claims from PRC health care providers. This requires verifying that the patient on claim is in our system using Cerner.
  • Performs alternate health resource verification.
    Responsible for providing new or updated demographic information and any alternate health resource information to Patient Access.
    Review claims to determine if a referral is on file.
    Coordinate with Patient Access department to generate a new health record for patients who are in outlying areas and have not previously registered at SEARHC.
    Establish patient eligibility according to established policies and procedures.
    Review ICD, CPT, and revenue codes to determine if diagnosis and treatment are authorized as part of the initial referral.
  • Management of data into the PRC claims processing program so that vendors can be paid timely. Process claims, using Medicare-like Rates when appropriate, for patients authorized to receive health services from facilities and providers outside of SEARHC.
  • Coordinate quarterly with CMS to obtain current Medicare-like Rates for non-tribal facilities.
    Perform insurance verification on each eligible beneficiary, review procedure and diagnosis codes to determine if services are covered under the SEARHC and Federal guidelines for reimbursement.
    Research unauthorized claims and take appropriate action.
    Provide alternate health resource information to private providers and facilities for all referred patients.
  • Provides assistance to customers regarding referrals and/or claim status, payment, patients admitted to non-tribal facilities, outstanding charges, and eligibility. Initiates, enters/update patient eligibility according to established procedures and Federal guidelines. Interpret PRC Program regulations, policies, and procedures to internal and external customers. Perform other duties as assigned.

Additional Details:
Education, Certifications, and Licenses Required
  • High school diploma or equivalent.
  • Medical terminology course required or 1 year of documented experience in a medical field requiring consistent use of medical terminology.

Experience Required
  • 1 year of data entry experience with basic knowledge of accounts payable processing, MS Excel, and MS Word software applications.
  • 3 years of business or medical office experience OR an equivalent combination of education and experience.
  • Medical coding background preferred.

Knowledge of
  • State, federal, and tribal health care programs.
  • Medical insurance process.
  • ICD and CPT coding.

Skills in
  • Interpreting state, federal, and tribal contract health care guidelines.
  • Research and problem solving.
  • Oral/written interpersonal communication and excellent customer service skills.

Ability to
  • Ability to multitask.
  • Ability to enter large volumes of data timely and accurately.
  • Ability to work independently with minimal supervision.
  • Ability to respond quickly in urgent situations with attention to detail.

Position Information:
Work Shift:OT 8/40
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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