- Molina Healthcare (Phoenix, AZ)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- AssistRx (Phoenix, AZ)
- …for manual claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot ... The Copay Support/ Claims Processing Specialist is a critical role within...and mail (emails, USMail) from pharmacies, patients, Sites of Care , Health Care Providers, copay vendors (PDMI,… more
- Amazon (Tempe, AZ)
- …seeking passionate, service-oriented individuals to support our mission of transforming the primary care experience. As a Healthcare Associate , you will play a ... Description Amazon One Medical is a human-centered, technology-powered primary care organization dedicated to making high-quality healthcare more accessible,… more
- The Cigna Group (Phoenix, AZ)
- …prescription claims so they will be dispensed accurately. + Associate and add insurance/discount program information to patients or specific medication, ... little more on how you'll make a difference:** + Associate prescription images to patient profiles and create patient...+ Accurately enter prescriptions into our system, run test claims , run test claims and support patients… more
- Evolent (Phoenix, AZ)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both… more
- Evolent (Phoenix, AZ)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to ... a mission with a company behind it. **What You'll Be Doing:** ** Associate Director, Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent… more
- Travelers Insurance Company (Phoenix, AZ)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- CVS Health (Scottsdale, AZ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... the Real-World Data tools, including Common Data Models (CDMs). The Senior Associate Epidemiologist / Senior Data Scientist role will support analytical, and… more
- Walgreens (Glendale, AZ)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Southland Industries (Tempe, AZ)
- …record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material ... Insurance + Pre-tax Flexible Spending Plans (Health and Dependent Care ) + Holidays/Vacation/Personal Time/Life Events Leave + Numerous training opportunities… more
- Walmart (Glendale, AZ)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Wells Fargo (Phoenix, AZ)
- **About this role:** Wells Fargo is seeking an Associate Customer Service Representative in **Everyday Banking** . Find out why we're the #1 financial services ... Services include deposits, payments and ATM operations, global fraud and claims , account reconciliation, cash vault services, mail and courier solutions, print… more
- Walmart (Glendale, AZ)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Molina Healthcare (Phoenix, AZ)
- …and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information. * ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Molina Healthcare (Phoenix, AZ)
- …**I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed ... care or healthcare environment. + Strong verbal and written communication skills. To all current Molina employees: If you are interested in applying for this… more
- Humana (Phoenix, AZ)
- …**Required Qualifications** + Three or more years work experience reading and interpreting claims within a managed care /health care environment + Familiarity ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...are Monday-Friday, 8 hours/day, and 5 days/week in the associate 's home time zone. Some schedule changes/adjustments might be… more
- Humana (Phoenix, AZ)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- Molina Healthcare (Phoenix, AZ)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... participates in special projects as requested. **JOB QUALIFICATIONS** **Required Education** Associate degree in Business or equivalent combination of education and… more
- Humana (Phoenix, AZ)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- Humana (Phoenix, AZ)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more