- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... workspace! **Preferred: In need for a FT IP auditing specialist . Auditing specialist will be responsible for...be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- Cardinal Health (Phoenix, AZ)
- …+ Submitting medical documentation/billing data to Commercial (MCO) and government ( Medicare /Medicaid) providers + Denials resolution for unpaid and rejected claims ... 1+ years experience as a Medical Biller or Denials Specialist preferred + Strong knowledge of Microsoft excel +...for at least a year_ + _Informed their current supervisor/ manager prior to applying_ + _No written disciplinary action… more
- Molina Healthcare (Scottsdale, AZ)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for ... (SAIs), including assisting and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for… more
- Molina Healthcare (Chandler, AZ)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional… more
- Banner Health (Phoenix, AZ)
- …(RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder ... preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or… more
- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- Banner Health (AZ)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... prior to referral to coding analyst, coding educator or coding manager /supervisor. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge and… more
- Merck (Phoenix, AZ)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our...plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). +… more
- Banner Health (Tucson, 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 ... and challenges), an in-office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist… more