- Highmark Health (Phoenix, AZ)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… more
- 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 ... basic finance and accounting principles. The successful Clinical Trial Operations Specialist will support Research Program Managers and coordinate the activities of… more
- Bristol Myers Squibb (Scottsdale, AZ)
- …with patient interest at the core of decisions should apply. The NP PA Clinical Specialist will have no direct reports and report into the Regional NPPA CS Director. ... The Dermatology Clinical Specialist will have materials created to support them in...laws. + Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geography. + Immunology… more
- Cognizant (Phoenix, AZ)
- …improving everyday life. **Job Title: Sr QNXT and NetworX Product Specialist ** **Location:** **Remote** **Job ID: SO# 00065529751** **Role and Responsibilities:** . ... seek clarification when gaps are identified. . Interpret paper contracts for reimbursement . . Troubleshoot and remediate/workaround for claim pend issues. . QNXT… more
- Modernizing Medicine (Phoenix, AZ)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day +… 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
- HonorHealth (AZ)
- …at least one (1) of the following certifications: CCS (Certified Coding Specialist ), or CIC (Certified Inpatient Coder), or RHIT (Registered Health Information ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic 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