- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...and monitoring on a regular basis for any needed adjustment . + Presenting cases to management for expense or… more
- Evolent (Phoenix, AZ)
- …**Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk Adjustment ... members with a passion for improving healthcare. **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to make a… more
- Molina Healthcare (Tucson, AZ)
- …training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Sedgwick (Phoenix, AZ)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Amazon (AZ)
- …CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our mission of delivering high-quality ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
- Sonora Quest (Phoenix, AZ)
- …billing requests including insurance updates, demographic changes, eligibility reviews, adjustment reviews, diagnosis updates, patient appeal requests, and other ... for coordinating and facilitating government and third party insurance claims submission, account refunds, complex adjustments and collection inquiries; required… more
- Molina Healthcare (Phoenix, AZ)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborate… more