- Banner Health (Tucson, AZ)
- …criminal and education) are required. This position as a **Patient Financial Specialist ** in **OBGYN** will be responsible for assisting with front office tasks ... resources and completes required documents. Maintains current working knowledge of Medicare , Medicaid and other program benefits and criteria, particularly as they… more
- Cognizant (Phoenix, AZ)
- …improving everyday life. **Job Title: Sr QNXT and NetworX Product Specialist ** **Location:** **Remote** **Job ID: SO# 00065529751** **Role and Responsibilities:** . ... by working with Business team . Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other Compensation:** Applicants will… more
- Banner Health (Peoria, AZ)
- …that sets us apart from the competition. As a Post Acute Alignment Specialist , you will be optimizing referral development for **Home Health, Home Medical Equipment ... key accounts. Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs… more
- Banner Health (Glendale, AZ)
- …using performance improvement PI principles and analytical tools. As a QI Specialist , you will serve teams throughout the hospital by facilitating quality ... of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of… more
- Molina Healthcare (Scottsdale, AZ)
- Molina Healthcare is hiring a Supervisor, Member Outreach, Training Specialist . This remote role will have a focus on spearheading, facilitating much of the training ... Experience: + Background Training + Managed Care background and/or is familiar with Medicare and Medicaid. + Process based, + Able to build forms and trainings… more
- Molina Healthcare (Phoenix, AZ)
- …with the standards and requirements established by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… 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)
- …Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within ... service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to detail. Physical… more
- HonorHealth (AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the ... Responsible for coordinating and conducting medical necessity reviews for all Medicare , AHCCCS, Self-pay, and all other payers, upon admission and concurrently… 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