Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerPhoenix, AZ5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Reconsideration Specialist ConcentraReconsideration SpecialistPhoenix, ArizonaThe Central Billing Office (CBO) Reconsideration Specialist performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures. Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions.
Revenue Cycle Specialist II, RCM Team Select Home CareRevenue Cycle Specialist II, RCMPhoenix, ArizonaThe Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed.
Revenue Cycle Specialist II Team Select Home CareRevenue Cycle Specialist IIPhoenix, ArizonaThe Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed.
Quality Assurance Auditor Wollborg Michelson RecruitingQuality Assurance AuditorPhoenix, AZOne of the following certifications: Certified Coding Specialist Physician Based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Outpatient Coding (COC). Review medical records, abstract codes to the highest supported specificity, validate qualifying face-to-face encounters, and audit supplemental HCC data submissions.
Center Admin- Center Administrator ArchWell HealthCenter Admin- Center AdministratorPhoenix, AZEducation and Experience: Bachelor's degree in Healthcare Administration, Business Administration, or a closely related discipline preferredA minimum of 5 years of related work experience in a medical clinic, hospital, or hospitality setting requiredA minimum of 3 years supervisory/managerial experience in a medical clinic, hospital setting, or similarly regulated environment requiredExperience with ECW is strongly preferredA passion for mentorship and team-development, particularly across multiple functional areasA problem-solving orientation and eagerness to identify process gaps and implement practical solutions in a matrixed organizationProficient PC skillsFluency in Spanish or other languages spoken by people in the communities we serve (where necessary). In partnership with the Market Operations Director, gather appropriate team and member information to build a best-in-class customer service experience with demonstrated continuous improvement to member satisfaction scoresEnsure all systems are running efficiently, including scheduling and billing; continuously monitors administrative team to provide feedback and coaching in use of systemsCreate a positive and productive work environment to attract and retain staff, providers and membersOversight for all compliance, including physician documentation and coding audit program, member and staff safety regulations, and HIPAA guidelines for member/employee confidentiality.
Health Center Relations Specialist - Stapley (8918) Terros HealthHealth Center Relations Specialist - Stapley (8918)Mesa, AZHealth Center Relations Specialist Duties Include: Greet individuals coming into the clinic in a professional and courteous manner, assist their needs promptly with compassion, in accordance with Terros Health values. The position performs a variety of duties which include, but are not limited to, greeting individuals, appointment scheduling, intake interviews, gathering information and paperwork.
Center Admin- Center Administrator ArchWell Health LLCCenter Admin- Center AdministratorMesa, AZThe Center Administrator will be responsible for practice profitability, revenue goals and other metrics including clinical quality of care, member satisfaction, staff satisfaction, productivity, revenue enhancement, managed care performance, and staff leadership. Develop and maintain positive relationships with healthcare partners, community organizations, senior‑service agencies, and marketing collaborators to support membership growth and reputation.
NewDedicated Claims Auditor Redirect HealthDedicated Claims AuditorPhoenix, ArizonaThis is an opportunity to make a direct impact, examine and improve workflows, and support the Claims Management team in sustaining our vision of 0% Error Rates —all while helping people access the care they need. We’re looking for someone who: Experience: 2+ years in a dedicated claims and/or auditing role, preferably in healthcare or customer service.
NewBilingual Quality Specialist SuvidaBilingual Quality SpecialistPhoenix, ArizonaThe Specialist, Quality will work closely with our clinic staff to identify gaps in care, capture HEDIS documentation, perform chart audits, track patient engagement in care gap, and notify clinics of time sensitive care caps. One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant .
Revenue Cycle Specialist Barrow Brain and SpineRevenue Cycle SpecialistPhoenix, AZThe AR Representative must adhere to a structured weekly workflow, optimizing claim trends and addressing high-dollar, oldest, and small-dollar accounts. The Revenue Cycle Specialist is responsible for managing and resolving outstanding claims and ensuring all accounts are worked systematically within prescribed timeframes.
Epic Denials Management Coordinator DeloitteEpic Denials Management CoordinatorGilbert, AZ$50,000–$60,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
Epic Denials Management Operator DeloitteEpic Denials Management OperatorGilbert, AZ$70,000–$90,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
ViiV Healthcare (GSK) Field Reimbursement Director, Central Region GSK plcViiV Healthcare (GSK) Field Reimbursement Director, Central RegionPhoenix, AZ$180,000–$300,000 / yearEstablish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.
NewRepresentative I - Revenue Cycle Customer Service HonorHealthRepresentative I - Revenue Cycle Customer ServicePhoenix, ArizonaBehind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area. Performs a variety of clerical duties, including, but not limited to scanning, mailing, updating registration, release of information, balancing according to established polices.
Electrical Project Manager K2 ElectricElectrical Project ManagerPhoenix, AZ$95,000–$140,000Additional earning opportunities may be available for eligible field roles and projects , including mission-critical project premiums, night/shift differentials, lead responsibilities, specialized commissioning or testing skills, per diem where applicable, overtime, and project-specific incentives. 2+ years as a PE with a bachelor's degree focused on construction management OR 4+ years as a PE with a career path working through the ranks as an Electrician (experience must be in commercial electrical construction projects).
Manager or Senior Manager, R&D Tax Credits (AMCS) KPMG International CooperativeManager or Senior Manager, R&D Tax Credits (AMCS)Phoenix, AZ$105,640–$223,100 / yearLicensed CPA, JD/LLM or completion of an advanced degree or professional certification/designation including: MBA (Masters of Business Administration), MCM (Masters of Construction Management), PHDE (PhD of Economics), PHE (Doctor of Engineering), ME (Masters of Engineering), MSRE (Masters of Science-Real Estate), AIA (Member, Amer Inst of Architects), Enrolled Agent, LEED (Leadership, Energy & Environmental Design) Certification, PE (Professional Engineer), or SIX SGMA (Six Sigma) Certification, in addition to others on KPMGs approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.
Revenue Cycle Financial Analyst Mountain Park Health CenterRevenue Cycle Financial AnalystPhoenix, AZThe Revenue Cycle Financial Analyst is responsible for analyzing reimbursement, billing, collections, denials, and revenue cycle trends to support the financial performance of Mountain Park Health Center. This role works closely with billing, coding, operations, credentialing, and information systems teams to support accurate revenue capture and timely reimbursement across applicable service lines.
Epic Denials Manager DeloitteEpic Denials ManagerGilbert, AZRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our 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.
Insurance Authorization Rep Blue CloudInsurance Authorization RepPhoenix, ArizonaRemoteBlue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; talk or hear.