- Cardinal Health (Phoenix, AZ)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- HonorHealth (AZ)
- …project management, clinical trial operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems ... finance and accounting principles. The successful Senior Clinical Trial Operations Specialist will lead and coordinate the activities of a multidisciplinary team… more
- Mayo Clinic (Phoenix, AZ)
- …Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national ... Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within… more
- Indian Health Service (Parker, AZ)
- …as the primary Insurance Credentialing for PBO. Ensures all applications to Medicare , Medicaid and any Private Insurance companies are completed to specifications. ... Maintains Medicare , Medical..., Medical and private/commercial insurance manuals and directives, Providers Reimbursement Manual, Direct Dealings, Provider Letters, and Federal Health… more
- Dignity Health (Phoenix, AZ)
- …medical healthcare claim environment. (Includes health plan physician claims/ reimbursement /appeals experience). + AHCCCS/ Medicare /government Commercial payer ... + Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received. + Maintains knowledge of payer guidelines for both government… more
- Dignity Health (Phoenix, AZ)
- …healthcare claim environment. (Includes health plan physician claims/ reimbursement /appeals experience). AHCCCS/ Medicare /government Commercial payer experience. ... HCFA 1500 billing experience. High School diploma or equivalent **Overview** Hello humankindness (https://hellohumankindness.org/) Located conveniently in the heart of Phoenix, Arizona, (http://phoenix.gov/visitors/index.html) St. Joseph's Hospital and Medical… more
- HonorHealth (AZ)
- …documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Banner Health (AZ)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work… more
- Banner Health (AZ)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- Highmark Health (Phoenix, AZ)
- …topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more