- Datavant (Phoenix, AZ)
- …your own workspace! ** Preferred : In need for a FT IP auditing specialist . Auditing specialist will be responsible for reviewing and validating DRGs specific ... to Medicare and Medicare Managed Care. Interest in...Preferred : In need for a FT IP auditing specialist . Auditing specialist will be responsible for… more
- Hospice of the Valley (Phoenix, AZ)
- …+ Flexible schedules for work/life balance **_Position Profile_** Th Revenue Cycle Specialist ensures accuracy and completeness of claims billed to multiple payors ... in a professional and timely manner. + Assures accurate data entry of Medicare , Medicare Advantage, commercial insurance, and self-pay payments and adjustments… more
- Molina Healthcare (AZ)
- …problem-solving skills. ** PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis, ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention… more
- Highmark Health (Phoenix, AZ)
- …Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ** Preferred ** + None **SKILLS** + Critical Thinking + Attention to Detail + ... Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but… more
- Molina Healthcare (Chandler, AZ)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- Banner Health (Tucson, AZ)
- …an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members ... options by offering remote and hybrid work settings. As a Quality Improvement Specialist with Banner Plans & Networks you will call upon your acute clinical… more
- Cardinal Health (Phoenix, AZ)
- …experience preferred + 1+ years experience as a Medical Biller or Denials Specialist preferred + Strong knowledge of Microsoft excel + Ability to work ... + Submitting medical documentation/billing data to Commercial (MCO) and government ( Medicare /Medicaid) providers + Denials resolution for unpaid and rejected claims… more
- Mayo Clinic (Phoenix, AZ)
- …customer service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to ... Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within… more
- Cardinal Health (Phoenix, AZ)
- …and procedures commonly used in a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies ... coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical,… more
- Molina Healthcare (Phoenix, AZ)
- …+ Experience with troubleshooting and analyzing issues. + Experience working in a Medicare environment is highly preferred . + Claims adjudication experience is ... provider information management, claims processing and other related functions. ** Preferred Education** Bachelor's Degree ** Preferred Experience** * Six… more