• Lead Analyst, Payment Integrity

    Molina Healthcare (Phoenix, AZ)
    …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates… more
    Molina Healthcare (09/07/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Phoenix, AZ)
    …understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translate ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
    Molina Healthcare (08/14/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    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
    Banner Health (09/06/25)
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  • Physician-based Oncology Senior Complex Coder

    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
    Banner Health (09/05/25)
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  • Profee Coder Urology

    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
    Banner Health (09/05/25)
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  • Coding Auditor Educator

    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
    Highmark Health (08/08/25)
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  • Physical Therapist PT Home Health

    Banner Health (Florence, AZ)
    …teams with a robust clinical support team: a field preceptor, an IT specialist , scheduler, therapy supervisor, and nurse manager. Our agency strives for the best ... work pay per visit or hourly. We offer mileage reimbursement and will provide you a company cell phone...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This… more
    Banner Health (08/30/25)
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  • Registered Nurse RN Home Care

    Banner Health (Mesa, AZ)
    …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... agencies! You will enjoy an autonomous but supportive work environment. We offer mileage reimbursement and will provide you a company cell phone and a tablet for… more
    Banner Health (08/30/25)
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  • Occupational Therapy Assistant COTA Home Care

    Banner Health (AZ)
    …teams with a robust clinical support team: a field preceptor, an IT specialist , scheduler, therapy supervisor, and nurse manager. Our agency strives for the best ... work pay per visit or hourly. We offer mileage reimbursement and will provide you a company cell phone...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This… more
    Banner Health (08/28/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Phoenix, AZ)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... claims, including appeals and denials, to ensure timely and accurate reimbursement . + Processes denials & rejections for re-submission (billing) in accordance… more
    Cardinal Health (08/24/25)
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