Senior .Net Software Engineer Vaco LLCSenior .Net Software EngineerTempe, AZ$130,000–$150,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Staff Engineer (Agentic AI) Kforce Inc.Staff Engineer (Agentic AI)Phoenix, AZ$130,000–$190,000Strong background in data engineering and architecture for AI-ready data-skilled in curating, chunking, enriching, and governing unstructured and semi-structured corpora for LLM consumption; Hands-on experience with vector databases (e.g., pgvector, Elastic Search), hybrid search, reranking, knowledge graphs, and embedding strategies for high-quality retrieval. Work closely with Solution and Enterprise Architects to develop solution architectures that integrate LLMs, agent frameworks, and AI services into the broader enterprise system, ensuring alignment with Enterprise Architecture principles and non-functional requirements (security, scalability, resilience, token economics, and latency budgets).
HIM Coding Educator Valleywise HealthHIM Coding EducatorPhoenix, AZ$30.37–$44.80 / hourExperience: Must have minimum of five (5) years of progressively responsible healthcareacute care coding, that involves both inpatient and outpatient facility coding experience that demonstrates a strong understanding of the required knowledge, skills and abilities. Hourly Rate:$30.37 - $44.80 Qualifications Education: Requires an associates degree in Health Information Management or related field; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
Audit and Coding Consultant 78 HonorHealth Medical Group SupportAudit and Coding ConsultantPhoenix, ArizonaUnder the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. ESSENTIAL FUNCTIONS Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes.
Coding Quality Education Specialist Southwest Network Company BrandCoding Quality Education SpecialistPhoenix, ArizonaProvides targeted education, direct coaching, and facilitates training programs tailored to each medica specialty upon translating audit findings. Essential Functions: Audits charts and revies clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorAZ$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
CTE Marketing / Coding Teacher 1.0 FTE - 2026-2027 School Year Tolleson Union High School DistrictCTE Marketing / Coding Teacher 1.0 FTE - 2026-2027 School YearAZCTE Marketing / Coding Teacher 1.0 FTE - 2026-2027 School Year - Tolleson Union High School District.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesPhoenix, Arizona$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Coding Business Analyst II - Policy Review Centene Corporation GroupCoding Business Analyst II - Policy ReviewAZ$56,200–$101,000 / yearMonitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.
NewMedical Billing and Insurance Coding Instructor (63815) International Education CorporationMedical Billing and Insurance Coding Instructor (63815)Mesa, AZTo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.
NewMedical Billing and Insurance Coding Instructor (63823) International Education CorporationMedical Billing and Insurance Coding Instructor (63823)Phoenix, AZTo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.
Billing \u0026 Coding Spec - Lab Phoenix Children's HospitalBilling \u0026 Coding Spec - LabPhoenix, AZThis position is responsible for prompt and accurate billing for all hospital laboratory and pathology professional billing services, including but not limited to, reviewing system error reports and resolution of billing exceptions, auditing of referral lab invoices, developing and maintaining reference testing 3rd party billing workflows, providing support for all clinical and anatomic pathology billing needs, and ensuring laboratory billing is current and appropriate for all testing. Develop internal audits and quality controls, in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations, to certify all laboratory billing (in-house, send out, and Pathology professional practice (PCMG)) is in compliance with National and Local Coverage Determinations (NCD and LCD) policies.
Coding Specialist, Pre-Service Healthcare Outcomes Performance CompanyCoding Specialist, Pre-ServicePhoenix, ArizonaVerifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors. Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding.
Mgr/Sr Manager, Payment and Coding Policy- Hybrid Blue Cross and Blue Shield AssociationMgr/Sr Manager, Payment and Coding Policy- HybridPhoenix, AZAZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Scottsdale, AZIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Coding Specialist, Pre-Service The Center for Orthopedic and Research ECoding Specialist, Pre-ServicePhoenix, AZPart timeVerifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors. Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding.
NewSIU Coding Manager & Audit Lead CVS HealthSIU Coding Manager & Audit LeadPhoenix, AZCVS Health is seeking the Certified Professional Coder (CPC) Manager to oversee a team of medical coders within the Special Investigations Unit, ensuring compliance through comprehensive record reviews across medical and related healthcare providers. You will lead, train, and mentor CPCs, conduct audits for CPT/HCPCS compliance, and drive performance with clear goals and measurable outcomes.
Technology Engineer - JAVA/.NET/Security Code Review The PNC Financial Services Group IncTechnology Engineer - JAVA/.NET/Security Code ReviewPhoenix, AZ$86,250–$158,125 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerAZ$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Coding Instructor Code NinjasCoding InstructorPhoenix, ArizonaWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Life Safety Code Health Care Compliance Officer State of ArizonaLife Safety Code Health Care Compliance OfficerPhoenix, AZProvide training and technical assistance to owners, administrators, directors, providers, and/or staff regarding state licensing/certification and CMS life safety requirements and corrections needed to attain compliance; take necessary actions, including legal, against providers found to be non-compliant with state statutes and rules. Life Safety Code Health Care Compliance Officer Job Location: Address: 150 N 18th Avenue Phoenix, AZ 85007 Posting Details: Salary: $57,750 Grade: 20 Job Summary: Responsible for accurate completion of inspections and complaint investigations, scheduling and prioritizing work assignments, document and form preparation, all within the established time frames.
NewTOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEAR Phoenix Union High School DistrictTOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEARPhoenix, AZThe Educator Mentor/ Adult Learning Coordinator is responsible for mentoring, coaching certified staff, researching, developing, implementing, recommending researched- based professional development resources and methodologies aligned to our District-wide strategic goals to improve student achievement. Serve as coach and mentor by making classroom visits, modeling demonstration lessons, team-teaching, and providing feedback, implement the site induction for new staff, and support for continual professional development of new and continuing staff/teachers.
NewSenior Manager- Cyber Security Engineering (Architecture as Code creation and review for Data Security/ Encryption/ Secrets management/ Tokenization capabilities) American Express CoSenior Manager- Cyber Security Engineering (Architecture as Code creation and review for Data Security/ Encryption/ Secrets management/ Tokenization capabilities)Phoenix, AZWorking at the intersection of software engineering, security architecture, AI, and developer enablement, this role develops reusable frameworks, bootstrap code, reference implementations, engineering libraries, and AI-assisted development assets that improve engineering quality, accelerate delivery, and increase consistency across multiple development teams. The Technology organization enables and accelerates the company's growth strategies, delivering global capabilities and services in support of Amex's customers and colleagues, while maintaining 24/7 servicing and availability to ensure an uninterrupted, high-quality customer experience.
Code Inspector City of Tempe ArizonaCode InspectorTempe, AZ$28.17–$41.53 / hourRepresents the City in civil court, criminal court, board and commission hearings, and public meetings related to the enforcement of City Codes • Responds to public complaints arising from the enforcement of City Codes in a timely and professional manner • Attends community meetings, training sessions, and continuing education programs May perform responsibilities of a similar nature and level as assigned. Duties include, but are not limited to the following: • Carry out preventative enforcement and conduct field inspections; control assigned areas of the City to locate and observe violations of City Code including signs, zoning, nuisance, and health and safety violations.
Security Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group IncSecurity Testing Specialist - Code Review/Java, .NET, Python DeveloperPhoenix, AZ$91,000–$185,900 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).
NewWorkers' Compensation Auditor: Code & Compliance Expert ADPWorkers' Compensation Auditor: Code & Compliance ExpertTempe, AZThe role requires collaboration with clients and stakeholders, expert knowledge of workers' compensation class codes, and the ability to resolve coding issues while maintaining compliance across states.#J-18808-Ljbffr. You will document reviews, analyze internal reports and carrier data, and ensure accurate code assignments for TotalSource client employees.
Life Safety Code Health Care Compliance Officer Arizona Department of AdministrationLife Safety Code Health Care Compliance OfficerPhoenix, ArizonaProvide training and technical assistance to owners, administrators, directors, providers, and/or staff regarding state licensing/certification and CMS life safety requirements and corrections needed to attain compliance; take necessary actions, including legal, against providers found to be non-compliant with state statutes and rules. - Interpersonal relations as applied to contacts with providers and staff, representative of local and state governmental agencies, including Adult Protective Services, local police departments, local fire departments, consumers, media and the public.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelPhoenix, ArizonaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Medical Billing Specialist American Vision PartnersMedical Billing SpecialistPHOENIX, ArizonaFull timeOur practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. Responsibilities: MAIN: Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.
Revenue Cycle Medical Coder (7179) Terros HealthRevenue Cycle Medical Coder (7179)Phoenix, AZStay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices. Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment.
NewMedical Billing A/R Specialist (31952) GI AllianceMedical Billing A/R Specialist (31952)Glendale, AZThe Medical Billing & Accounts Receivable Specialist will play a critical role within our Revenue Cycle Management department by managing payer accounts, resolving claim issues, reducing outstanding accounts receivable, and ensuring accurate and timely reimbursement. Candidates with experience supporting Radiation Oncology revenue cycle operations, including familiarity with oncology-specific payer requirements, authorization workflows, coding, or reimbursement processes, will be particularly well positioned for success in this role.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NursePhoenix, AZRemoteUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing ClientG/InterQual, state/federal guidelines, billing and coding regulations, and Client policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorAZ$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Clinical Bill Review Analyst ValenzClinical Bill Review AnalystPhoenix, AZRemoteFull timeVālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.
Certified Medical Claims Auditor ValenzCertified Medical Claims AuditorPhoenix, AZRemoteFull timeVālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.
Medical Billing Specialist - Follow up & Collections III/IV PHI HealthMedical Billing Specialist - Follow up & Collections III/IVPhoenix, ArizonaUnderstand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately. Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AZ$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Certified Coder American Vision PartnersCertified CoderPHOENIX, ArizonaFull timeOur practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. Company Intro: At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible.
Optometric Technician West Point OpticalOptometric TechnicianScottsdale, ArizonaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Ophthalmic Technician Pearle VisionOphthalmic TechnicianScottsdale, ArizonaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
Data Entry & Medical Records Specialist Arizona Department of AdministrationData Entry & Medical Records SpecialistPhoenix, ArizonaRemoteProcesses claims that are pended (adjudicates); including requests medical documentation from providers, looks for consent forms, EOBs and Third Party Liability, reviews the history for duplicates or duplicate payments, identifies inappropriate billing patterns and forwards to appropriate unit, ensures medical documentation is included with submissions, supplements and links documentation, recoups and voids claims. The position requests medical documentation from providers, looks for consent forms, reviews the history for duplicates or duplicate payments, ensures the system is appropriately processing claims, and identifies inappropriate billing patterns, when are then reported to our audit unit or to the agency's Fraud Unit for review.
Claims Clinical Documentation Reviewer Arizona Department of AdministrationClaims Clinical Documentation ReviewerPhoenix, ArizonaRemoteJob Summary: Claims Clinical Documentation Reviewer reports to the Prepayment Program Manager and is responsible for reviewing clinical and/or supportive documentation, submitted by provider organizations, in support of billed medical, behavioral health, NEMT and other related Medicaid services by applying knowledge of healthcare State, Federal, and AHCCCS laws, policies, and practices. Monitor over and under service utilization, conduct prepayment claims reviews, provide oversight and technical assistance, gather, plan, organize and evaluate information from multiple sources, including utilization data, case file reviews and audits.
Administrative Assistant/ Front Desk Medical Coordinator - Full Time RestorixHealthAdministrative Assistant/ Front Desk Medical Coordinator - Full TimeChandler, AZResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Data Entry & Medical Records Specialist State of ArizonaData Entry & Medical Records SpecialistPhoenix, AZRemoteProcesses claims that are pended (adjudicates); including requests medical documentation from providers, looks for consent forms, EOBs and Third Party Liability, reviews the history for duplicates or duplicate payments, identifies inappropriate billing patterns and forwards to appropriate unit, ensures medical documentation is included with submissions, supplements and links documentation, recoups and voids claims. The position requests medical documentation from providers, looks for consent forms, reviews the history for duplicates or duplicate payments, ensures the system is appropriately processing claims, and identifies inappropriate billing patterns, when are then reported to our audit unit or to the agency''s Fraud Unit for review.
Claims Clinical Documentation Reviewer State of ArizonaClaims Clinical Documentation ReviewerPhoenix, AZRemote$68,000–$71,032 / yearJob Summary: Claims Clinical Documentation Reviewer reports to the Prepayment Program Manager and is responsible for reviewing clinical and/or supportive documentation, submitted by provider organizations, in support of billed medical, behavioral health, NEMT and other related Medicaid services by applying knowledge of healthcare State, Federal, and AHCCCS laws, policies, and practices. Monitor over and under service utilization, conduct prepayment claims reviews, provide oversight and technical assistance, gather, plan, organize and evaluate information from multiple sources, including utilization data, case file reviews and audits.
Revenue Compliance Analyst Valleywise HealthRevenue Compliance AnalystPhoenix, AZRemote$38.42–$56.67 / hourKnown for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical, Dental, and Vision Plans Flexible Spending Accounts Paid Time Off and Paid Holidays Sick and Extended Illness Bank Why Youll Love Working With Us: Professional Growth: Valleywise Health is the largest teaching hospital in the valley. Experience: Must have a minimum of two (2) years of progressively responsible varied healthcare coding experience that demonstrates a strong understanding of the required knowledge, skills and abilities.
NewEpic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu LtdEpic Resolute Hospital Billing Associate AnalystTempe, AZ$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Practice Administrator Spectrum Medical Care CenterPractice AdministratorPhoenix, AZFull timeRevenue Cycle Management In collaboration with the Finance team own revenue cycle performance, including charge capture, claim submission, payment posting, and denial management, with accountability for key RCM metrics including net collection rate, days in AR, denial rate, and clean claim rate. Partner with 340B program partners, clinical teams, and patient navigators to ensure 340B-eligible prescriptions are accurately identified at the point of care, minimizing missed capture opportunities and supporting maximum program benefit realization for Spectrum’s patient population.
Specialty Billing & Collections Analyst Dragonfly HealthSpecialty Billing & Collections AnalystMesa, Arizona4. Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up. Specialized Knowledge, Skills & Abilities: • Proficient and accurate data-entry skills are required to record and manipulate data as previously described.
Accounts Receivable Representative IMS Care CenterAccounts Receivable RepresentativePhoenix, ArizonaResearch and processes insurance denials received from Explanation of Benefits (EOBs) and Account Receivable (A/R) reports by reviewing documentation and insurance/contract/coding guidelines (This process includes written appeals when appropriate; additionally, enters internal and external review decisions including charge adjustments, corrections, proper payment and resubmission of claims in the claims system). The Accounts Receivable Representative is responsible for the management of patient accounts receivable and posting payments in a timely manner by following the Department’s established policies and procedures.