- Molina Healthcare (Phoenix, AZ)
- …requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role ... purposes. **Recoveries & Disputes** + Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and… more
- Banner Health (AZ)
- …for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides ... Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and… more
- Highmark Health (Phoenix, AZ)
- …available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL ... + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims.… more
- American Express (Phoenix, AZ)
- …technology, and relationship management teams + Maintain current knowledge about the payment services industry, debit and US market trends, new & existing ... products & services **Minimum Qualifications** + 1 year experience in the processing , acquiring, and routing of US debit cards + Sound analytical, problem-solving,… more
- Molina Healthcare (Scottsdale, AZ)
- …matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable ... (CMS) and state regulatory requirements are met for pre-pay edits, post- payment datamining, and overpayment recovery, to improve encounter submissions, reduce… more
- Republic Services (Phoenix, AZ)
- …well as preparing the weekly Union 401K and Supplemental Benefits reporting for payment processing and submitting its employee to the various third-party trust. ... AFLAC, and other voluntary benefit deductions to compile the weekly reporting and payment uploads to Accounts Payable for processing . + Create union medical… more
- Freeport-McMoRan (Bagdad, AZ)
- …Bagdad is home to the world's first commercial - scale concentrate leach processing facility, as well as one of the longest continuously operating solvent ... verbal communication skills + Mine Operations Fundamentals + Power BI Data Analyst Associate + AWS Certified Data Analytics **Preferred Qualifications** + Bachelor's… more
- Coinbase (Phoenix, AZ)
- …and scheduled risk-detection workflows. You will collaborate closely with Platform, Product, Analyst , and Ops teams to uncover new fraud patterns, fight baddies, and ... systems, anomaly detection); with *required prior domain experience in Payment Risk, Credit Risk, or Identity Risk / Account...in building backend systems with a focus on data processing or analytics is a plus. * *Team Collaboration:*… more
- Deloitte (Tempe, AZ)
- …application with external systems. Solid understanding of healthcare claim processing workflows, including eligibility, adjudication and payment processes. ... standards in healthcare, such as HIPAA, HL7 and FHIR. + Deeply experienced Epic analyst to work implementation, build and strong experience with SDLC for Epic. +… more
- Public Consulting Group (Phoenix, AZ)
- …Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost Allocation ... Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing… more