- Trustmark (Phoenix, AZ)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...in the evaluation and coordination of process changes and training due to new workflows, automation and/or new products.… more
- Deloitte (Tempe, AZ)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more
- Molina Healthcare (Phoenix, AZ)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Highmark Health (Phoenix, AZ)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Global Financial Lines Errors and Omissions Claims Group currently has an open claim professional position in our Architects &… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Hartford Global Specialty - Financial Lines Employment Practices Liability ("EPL") Claims Group currently has an open Claim Consultant/Professional position. As an… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- The Hartford (Scottsdale, AZ)
- …Expense Containment Training - Create and administer litigation cost containment training to Claims .* Analysts will be expected to leverage their knowledge ... area, including Auto,General Liability, Property Damage/ Construction Defect and ProfessionalLiability claims .* All training will address topics such as billing… more
- Cherry Bekaert (Phoenix, AZ)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Phoenix, AZ)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Banner Health (Phoenix, AZ)
- …Name:** Clinical Risk Mgmt & Ptnt Rel **Work Shift:** Day **Job Category:** Risk, Quality and Safety The ** Senior Director, Clinical Risk Management & Patient ... risk management team and patient relations. Great opportunity to collaborate with quality and patient safety, and strategically contribute to Banner's mission of… more
- Atlas (Tempe, AZ)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- The Cigna Group (Scottsdale, AZ)
- **Role Overview:** The Enrollment/Billing Senior Representative works under the direction of the Manager of RCM to maintain the accuracy of Village Fertility ... statements and invoices. + Determines required adjustments to billed claims and adjusts claims as needed on...**Requirements:** + Must be local to Scottsdale, AZ as training will be onsite followed by a hybrid schedule… more
- Walgreens (Phoenix, AZ)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Phoenix, AZ)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... to align fraud management efforts with organizational goals. Conduct training sessions and workshops to educate staff on fraud...to fraud and claim activity. Validate the integrity and quality of data required for performing analysis. * Partner… more
- Humana (Phoenix, AZ)
- … claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately complex to ... of our caring community and help us put health first** The Senior Installation Administration Professional establishes and manages relationships with internal and… more