Healthcare Claims Operations Leader
Redirect Health Inc
Redirect Health Inc is looking for an Operations Manager in Phoenix, Arizona. This hands-on leadership role involves leading a high-performing Claims team to navigate billing, reimbursement, and claims challenges effectively. The ideal candidate thrives on building strong teams and has a customer-first mindset, ensuring clarity and empathy in every decision. A focus on operational excellence and continuous improvement will drive success in this position. As a part of our mission, you'll benefit from free healthcare, competitive salary, and an engaging work environment. #J-18808-Ljbffr Redirect Health Inc
- ...Phoenix, AZ is seeking a full-time Dental Office Manager who excels in operational excellence and team leadership. The role requires a candidate with at least 2 years of dental practice management and claims processing experience. The successful applicant will manage...ClaimsFull timeWork at office
- ...oriented billing professional seeking an exciting opportunity in healthcare? West Coast Ambulance is looking for a motivated Billing... ...will involve accurately processing and managing medical billing claims, ensuring timely reimbursements, and helping to maintain our financial...ClaimsFull time
- A healthcare organization based in Phoenix, AZ, is seeking a claims analyst to review and process Stop Loss claims. The role involves building client relationships, analyzing claim losses, and ensuring compliance with policy standards. Candidates should have at least 5...Claims
$70k
...Healthcare shouldn't be something you worry about when taking care of your family. That... ...home here. About This Role The Claims Manager exists to lead a high-performing... ...exceptional member support Oversee claims operations while ensuring accuracy, compliance, and...ClaimsContract work- A leading healthcare organization in Phoenix, Arizona, seeks a Diagnostic Imaging Clinical Manager to oversee daily operations of the radiology department. The role requires strong management skills, ensuring high-quality patient care while mentoring staff. Responsibilities...Suggested
- ...and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex... ...all insurance carriers. Prepares and sends out paper claims as needed. Prepares and provides itemized statements...ClaimsWork at officeLocal area
$91.46k - $156.79k
...in detail ~ Be able to discuss confrontational issues (ex. claims, delays, etc.) with customer ~ Excellent oral and written communication... ...company focused on industry, infrastructure, transport, and healthcare. From more resource-efficient factories, resilient supply...ClaimsPermanent employmentContract workFor subcontractorLocal areaImmediate start- Pure Infusion Suites is a fast-growing healthcare start-up, recognized as the fastest-growing... ...directed, and passionate about ensuring claims are processed quickly and accurately,... ...Works in partnership with the Clinical and Operations and Field Sales teams to understand...ClaimsContract workWork at office
- ...AR Manager to oversee the strategic and operational execution of the laboratory including revenue... ...companies rejecting laboratory claims (e.g., incorrect diagnosis coding or lack... ...billing practices are strictly aligned with healthcare laws, payer contracts, and government...Claims
$37.4 - $55.63 per hour
A healthcare organization in Phoenix is seeking a Supervisor Clinical Operations RN to oversee the daily operations of the department. Responsibilities include staff supervision, performance evaluations, and ensuring quality patient care. Candidates must hold an Associates...Full time- Blue Cross Blue Shield of Arizona, through Prosano Health Solutions, seeks a Healthcare Manager to oversee clinical operations at their Care Center in Phoenix, AZ. The role involves managing day-to-day operations, ensuring quality care, and supervising staff. The ideal...Full time
- ...Job Summary Our client is seeking a Claims Specialist to join a high-performing,... ...solutions for clients and candidates across the healthcare, scientific, technology, and government... ...a significant impact on the business operations and reputation, as well as the safety...ClaimsTemporary workWork at officeLocal areaRemote work
$29.05 - $67.97 per hour
...Molina Healthcare in Scottsdale, Arizona is seeking a clinical nurse to oversee the medical review process, ensuring claims and records meet necessary guidelines. The successful candidate will facilitate medical reviews, validate reimbursement claims, and support clinical...ClaimsHourly pay- ...their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The ideal candidate will possess a strong nursing background, excellent organizational...ClaimsRemote work
- ...advance your career with a practice that is making a difference in healthcare. A compassionate, organized and well established Urgent care is... ...related activities. Preparing and attending to all reports, claims, and correspondence necessary and appropriate to the...Claims
$18.98 - $22.5 per hour
...medication management solutions to support healthcare organizations serving seniors and... ...processing customer bills and insurance claims in an accurate and timely manner. This includes... ...of pharmacy information systems to meet operational needs and regulatory requirements. This...ClaimsFull timeTemporary workWork at officeFlexible hours- ...Search Director of Staffing | Healthcare, Revenue Cycle Management,... ...compliance. As a critical team leader, you will guide AR and collections... ...strategies for outstanding claims, and monitor metrics to... ...Your contributions will enhance operational efficiency and ensure financial...ClaimsFull timeContract work
$19.01 - $26.85 per hour
...health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20... .... Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R. All denied accounts...ClaimsFull time- ...requirements: Hybrid People Leaders: must reside in AZ, required... ...once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence... ...mining skills Knowledge of healthcare industry. Advanced PC...ClaimsFull timeWork experience placementRemote work1 day per week
- ...A healthcare solutions company is seeking a Medical Billing and Collection Specialist to manage a range of billing functions, including claim submissions and payment posting. The role requires at least 2 years of experience in healthcare billing, with a strong focus on...ClaimsRemote work
- A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role involves reviewing hospital claims and making crucial coding decisions while working in a metrics-driven...ClaimsRemote work
$68.5k - $104.1k
...Job Description The Bodily Injury Team Leader will manage a team of attorney-represented... ...adjusters supporting our West Coast claims operations. This role requires availability during... ...VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing,...ClaimsWork at officeWork from homeVisa sponsorshipWork visa- Green Light Cost Management in Scottsdale is looking for a Claims and Appeals Specialist. The role involves supporting... ...have strong organizational skills and experience in healthcare claims or related operations. Responsibilities include communication with healthcare...ClaimsFull time
- A healthcare technology firm located in Scottsdale, AZ, is looking for a Quality Coordinator for Claims Processing. This role requires reviewing member submissions for accuracy and ensuring claims are properly processed. Candidates should have at least 2 years of experience...Claims
- ...companies while interacting with patients regarding outstanding balances. This role involves managing delinquent accounts, processing claims accurately, and maintaining confidentiality. The ideal candidate will have significant insurance billing experience, knowledge of...Claims
- ...provide expert consulting services to its policyholders, including healthcare professionals and organizations. This role includes tasks such... ...while ensuring collaboration with various departments like Claims and Underwriting. The ideal candidate should possess a Juris Doctor...Claims
- Blue Cross Blue Shield of Arizona is looking for a Clinical Analyst to assess member utilization and predict future healthcare spending. The successful candidate will collaborate with multidisciplinary teams to enhance customer relationships and service, while also identifying...Claims
- .../ Behavioral Revenue Cycle representative for a well-respected healthcare organization located in Central Phoenix, AZ. These are Monday –... ...Qualified candidates will have previous experience Billing out claims, Following up with all Payors, posting charges, calculating allowables...ClaimsFull timeMonday to Friday
- ...manage insurance receivables and ensure compliance with federal regulations. This role requires collecting payments, reviewing unpaid claims, and maintaining an error rate in line with departmental policies. The ideal candidate should have a high school diploma and at...Claims
- Job Duties Process and follow-up on insurance claims to include denials & appeals. Patient Accounts Receivable Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies Prepare adjustments/refunds requests for accounts, as necessary. Data...Claims
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