Medical Records Technician Arizona Priority CareMedical Records TechnicianChandler, Arizona$20–$21.50 / hourArizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.
Medical Records Clerk IMS Care CenterMedical Records ClerkAvondale, ArizonaResponsibilities : Compiles, processes, and maintains patient charts by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures. Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care.
Medical Records Representative OrthoArizonaMedical Records RepresentativeChandler, ArizonaAs a Medical Records Representative with OrthoArizona, you will get to: Transmit, retrieve, route, mail, fax patient records as required. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley!
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.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)AZ$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Medical Records Clerk IMS Care Center LLCMedical Records ClerkAvondale, AZPart timeResponsibilities : Compiles, processes, and maintains patient charts by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures. Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianCibecue, AZ$37,193–$44,780 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
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.
Medical Records Coordinator Apache Behavioral Health ServicesMedical Records CoordinatorWhiteriver, ArizonaBachelor’s degree in a field related to behavioral health or has a bachelor’s degree and at least one year of full time behavioral health experience; or has an associate’s degree and at least two years of full time behavioral health work experience; or has a high school diploma or high school equivalency diploma and: 18 credit hours of post high school education in a field related to behavioral health completed no more than four years before the date the individual begins providing behavioral health services and two years of full time behavioral health work experience; or high school diploma or high school equivalency diploma and four years of full time behavioral health work experience. Frequent: repetitive use of hand, walking, standing, bending neck and waist, squatting, climbing, kneeling, twisting neck and waist, simple grasping of left and right hand, power grasping right and left hand, fine manipulation right and left hand, pushing and pulling right and left hand, reaching above shoulder level, reaching below shoulder level, lifting objects weighing up to 25 pounds from below the waist to a height of 3 feet.
NewUtilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral Health Sanctuary Recovery CentersUtilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral HealthPhoenix, AZ$24–$29 / hourFull timeCompliance: Sanctuary Recovery Centers complies with all applicable federal, state, and local laws regarding background checks, drug screenings, and APS registry checks. As part of our commitment to maintaining a safe and productive work environment, Sanctuary Recovery Centers conducts background checks and drug screenings for all potential employees.
Registered Nurse Utilization Review Per Diem HonorHealthRegistered Nurse Utilization Review Per DiemArizonaReviews clinical documentation and facilitates modifications (as needed) to ensure that documentation accurately reflects the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services.
NewREMOTE RN - Quality Review Teema GroupREMOTE RN - Quality ReviewPhoenix, AZRemote$42–$43.50This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
Clinical Quality Review Nurse Teema GroupClinical Quality Review NursePhoenix, AZ$41–$44This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
Clinical Review Pharmacist Amtrust Financial Services IncClinical Review PharmacistScottsdale, AZ$116,000–$120,000 / yearPharmacists review medication orders for completeness, accuracy, and legality, determining the presence of medication therapy problems in a patient's current medication therapy, including, for example, any of the following: Medication prescribed inappropriately for a particular medical condition. PRIMARY PURPOSE: The Clinical Review Pharmacist has the responsibility of reviewing the medical necessity, appropriateness, and quality in the appropriate setting for workers' compensation injured employee as it pertains to their medications.
Utilization Review Specialist LifePoint HospitalsUtilization Review SpecialistGilbert, AZOur treatment programs include inpatient mental health and addiction treatment, outpatient Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and ECT therapy. Advocates on behalf of patients with substance use disorders, dual diagnoses, psychiatric conditions, or emotional disorders to managed care providers to obtain necessary treatment.
KYC Review Analyst Senior- Ops City National BankKYC Review Analyst Senior- OpsPhoenix, ArizonaRemote$71,869–$114,797 / yearFull timeThe KYC Review (Analyst – Senior) will perform Enhance Due Diligence (EDD) reviews for commercial loan borrowers and prospect reviews utilizing a variety of internal bank systems and external research tools, subscription based websites, public records to investigate, research, and prepare documentation/summaries consistent with resolution of investigation. Additional Qualifications Analytical skills, solid understanding of deposit and loan transactions, use of good judgment, attention to detail, internet savvy, good knowledge of Bank Secrecy Act and USA PATRIOT acts.
NewRN-Utilization Review (Remote Position - AZ Residents ONLY!) Kingman Regional Medical CenterRN-Utilization Review (Remote Position - AZ Residents ONLY!)Kingman, AZRemoteWorks collaboratively with Case Managers and Insurance Specialist to ensure that appropriate and accurate clinical information is communicated to payers within required timeframes as per KHI policies and procedures. Collaborates with all members of the healthcare team, the business office, and payers as necessary, to ensure patients receive high quality care in the most cost-effective manner.
Police Records Representative City of Chandler AZPolice Records RepresentativeChandler, AZ$24.69–$33.32 / hourThe Patrol Operations Division three precincts, 1) Main Station - Downtown & North Chandler, 2) Desert Breeze - West Chandler, and 3) Chandler Heights - South Chandler, work in concert with the Criminal Investigations Bureau, Operational Support Bureau, and Professional Services Division to meet the needs of the community. The Police Records Representative are required to work various schedules which include days, swings, some weekends and holidays.
Veterinary Medical Director Global Talent PartnersVeterinary Medical DirectorTucson, AZ$129,000–$196,000 / yearSet against the backdrop of the Sonoran Desert and surrounding mountain ranges, the city offers a strong healthcare ecosystem, nationally recognized food culture, and year-round sunshine. - UNESCO City of Gastronomy with a distinctive Sonoran and Mexican food scene, plus vibrant arts, festivals, and community events (including the Gem Show, El Tour de Tucson, and the All Souls Procession).
Medical Assistant-Community Center UnitedHealth Group IncMedical Assistant-Community CenterPhoenix, AZ$16.15–$28.80 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Assist in the care of patients through telephonic outreach to identify care needs and barriers to care, connect patients to community resources, and schedule hospital follow up appointments, screenings and Annual Wellness Visits including recently discharged patients.