- Molina Healthcare (Mesa, AZ)
- …including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical ... in accordance with audit standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract, provider demographic… 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 ... of customer-service, administrative work and are motivated to cultivate change in healthcare . You are currently looking for your next opportunity at an organization… more
- Molina Healthcare (Tucson, AZ)
- **Job Description** **JOB SUMMARY:** The Senior Specialist , Quality Program Management & Performance RNensures quality monitoring audits and investigations are ... and critical incident cases (as applicable) + Adheres to written documentation and business practices (eg, policies and procedures, desk-level procedures, manuals,… more
- Molina Healthcare (Tucson, AZ)
- …Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues utilizing systems and other available ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Molina Healthcare (Phoenix, AZ)
- …inquiries; prepares written analyses of advocacy issues; and assists with documentation preparation for appeals, fair hearings or other formal/informal dispute ... Program for Managed Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical care, quality of… more
- Molina Healthcare (Tucson, AZ)
- …etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all assigned areas of responsibility. **JOB QUALIFICATIONS** ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- HonorHealth (AZ)
- …to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare ... care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.… more
- Adelante (Phoenix, AZ)
- Value Based Clinical Data Specialist Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Full Time Job Category Health ... Care Description POSITION SUMMARY The Value Based Clinical Data Specialist will serve as a key support between Adelante... will serve as a key support between Adelante Healthcare and the patient population as attributed through Value… more
- Owens & Minor (Phoenix, AZ)
- At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 ... Our mission is to empower our customers to advance healthcare , and our success starts with our teammates. Owens...education, and location. **JOB SUMMARY** The Patient Account Resolution Specialist - OtB will provide excellent customer service and… more
- HonorHealth (AZ)
- …to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare ... care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.… more