Medical Claims Specialist
$22 - $23.75 per hourResilient Health Inc
Are youdoing what you love? We are! Why? At our core, we are aresiliency-building company. Our purpose is to unleash the power of ouremployees and participants to create a resilient world, one person at a time. As an innovative, learningand collaborative organization, every position contributes to this purpose andour employees are the heart of who we are. We support healthy work/life balancefor our employees and invest in their potential through opportunities forcontinual learning and growth. If this resonates with you,then read on! Aboutour Claims Specialist: Our Claims Specialist aids inthe day-to-day operations of the claims department by gathering information andprocessing medical and psychiatric healthcare claims. What a Claims Specialist Does at Resilient Health: Verifies insurance eligibility Scrubs claims for accuracy Analyzes, researches, and resubmits deniedclaims Posts payments to participant accounts Corresponds regularly with all payersregarding claims Ensures all claims information remainsconfidential Requirementsfor This Position: High School Diploma or equivalent required Minimum of one year of experience in ahealthcare claims setting, preferably in a behavioral health organization Associate's degree in Medical Billing& Coding, CPC certification, or suitable experiencerequired Experience with EHR and computerizedbilling functions required Valid driver's license Valid Fingerprint Clearance Card orability to obtain within 90 days of hire Three-year Motor Vehicle Record that meetsour auto insurance carrier's coverage requirements WhereYou Will Be Working: 2255 W. Northern Ave., Phoenix AZ 85021 WhatThis Position Pays: $22.00 - $23.75per hour, depending on education and/or experience OurPerks: Exceptionally generous PTO (3.5 weeks offyour first year and rising in subsequent years) 14 paid holidays 403(b) with company match Medical/Dental/Vision insurance Voluntary short and long term disability insurance Life insurance Employee assistance program Voluntary insurance for critical illness,accident and hospitalization Pet insurance If allof this sounds like something you were born to do, then we would love to hearfrom you! In aneffort to support our participants by setting healthy examples, all ResilientHealth campuses are smoke-free for employees. ResilientHealth is an Equal Employment Opportunity employer and is dedicated to the principles of equal employment opportunity. Resilient Health will make reasonable accommodations for qualified individuals with known disabilities and for employees whose work requirements interfere with a religious belief. #J-18808-Ljbffr
$20.75 per hour
...for your spouse and children. No monthly premiums No surprise medical bills Most team members avoid tens of thousands of dollars in... ...with you, you’ll feel at home here. About This Role Medical Claims Specialist helps ensure claims are handled accurately and thoughtfully,...SuggestedContract workWork at office- Fortune 500 Healthcare company is hiring a Medical Claims & Reimbursement Specialist to review and process medical claims from providers and assist patients with related questions. You will verify data, resolve discrepancies, and communicate with insurers to ensure accurate...SuggestedRemote work
- Redirect Health Inc in Phoenix, Arizona, is seeking a Medical Claims Processor to ensure accurate processing of medical claims and to support members, providers, and internal teams. This hybrid role requires 3 days in office and emphasizes precision, clear communication...SuggestedHourly payWork at office
- Medical Claims Recovery Specialist (Subrogation) - Arizona Location: Any city, AZ, US, 99999 Summary We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid beneficiaries...SuggestedFull timeContract workWork at officeFlexible hours
- Gainwell Technologies is actively seeking a Medical Claims Recovery Specialist in Arizona to manage subrogation cases involving state Medicaid beneficiaries. The role requires strong analytical abilities and effective communication with various stakeholders. Candidates...SuggestedFlexible hours
- Signature Performance is seeking a Follow Up Specialist III to manage timely follow-up on outstanding insurance claims and ensure accurate reimbursement. You will review EOBs, contact payers, and coordinate with billing and clinical staff to gather necessary documentation...Remote job
- Redirect Health is seeking a Medical Claims Processor to ensure accurate and thoughtful claims handling, reducing stress and costs for families. You will work with members, providers, and internal teams to resolve issues, maintain trust, and improve overall processing...
- An established industry player is seeking a Medical Review Nurse to join 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...Remote job
- Redirect Health Inc in Phoenix, AZ is seeking a Medical Claims Specialist to ensure claims are reviewed and processed accurately, helping families avoid stress and high costs. You’ll play a key role in clear communication with members and providers while supporting a mission...Work at office
$140.68k - $190.33k
Build our future together: Our Medical Specialists are at the forefront of engaging Dermatologists and other key customers. We need someone who is highly proficient in presenting clinically-focused sales messaging that resonates and compels potential and existing customers...Full timeWork at officeLocal areaHome office- ...times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA...Remote work
- Jobtailor in the United States is seeking an insurance claims adjuster focused on soft tissue bodily injury claims. You will adjust claims, evaluate coverage, and guide members through the resolution process. The role requires a high school diploma and auto liability experience...
- The Patient Service Technician at Apria Healthcare delivers and picks up home care equipment, sets up devices, and trains patients on proper use. The role requires at least a high school diploma, a minimum of one year related work experience, and a valid driver’s license...Work experience placement
- ...to evaluate and improve how AI systems handle clinical reasoning. You'll design evaluation methods that test AI performance on real medical problems where clinical expertise makes the difference. Design systematic evaluation frameworks for medical AI systems Create...Remote workFlexible hours
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...WC Senior Claims SpecialistThe WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This... ...available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term...Minimum wageFull timeWork at officeLocal areaFlexible hours- ...Overview : As the Casualty Claims Specialist, you will be responsible for managing injury and damage claims in personal and commercial auto... ..., national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status,...Full timeTemporary workLocal area
- ...Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!As a Workers Compensation Claims Specialist... ...adjusters, cause and origin experts and independent medical examiners.Refers to claim to subrogation group or Special Investigations...Work experience placementLocal areaRemote work
- ...Ryder System, Inc. in Phoenix seeks a Senior Claims Representative to handle mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. You will investigate and adjust claims and coordinate with defense counsel, independent...
$20 per hour
...Customer Claims Specialist (Housing)CRS is a Phoenix-based company that helps insured families recover after unexpected home damage (fire, water, storm, earthquake, etc.) by providing temporary housing and relocation support. Working closely with insurance carriers, CRS...Hourly payTemporary workFor contractorsWork at officeRemote workRelocation packageMonday to Friday$80k - $95k
A reputable insurance staffing firm is seeking a Commercial General Liability Claims Representative to join their team in Phoenix, AZ. This full-time position involves handling moderate non-litigated claims and conducting coverage analysis. Candidates should have at least...Full timeRemote work- GardaWorld Group is seeking a Medical Transport Detention Officer in Surprise, AZ. This full-time role involves providing secure armed transportation and supervision for residents requiring medical appointments. Candidates must possess an Arizona Armed Security license...Full time
- ...Physicians is a fast-paced private practice seeking a detail-oriented Medical Biller to join our administrative team in Phoenix. This in-... ...on accurate processing of patient billing and insurance claims. Responsibilities include posting payments, following up on underpaid...Private practice
$69.92k - $133.62k
...Opportunity As a dedicated Property Adjuster Specialist , you will work within established... ..., and settle complex property insurance claims presented by or against our members. You... .... These benefits include comprehensive medical, dental and vision plans, 401(k),...Hourly payFull timeH1bLocal areaRemote workRelocationAfternoon shift$154.6k - $198.6k
The Hematology Oncology Account Specialist is responsible for engaging Oncology specialists and other key Oncology customers within a geographical... ...territories. Benefits Health and wellness programs (medical, dental, vision, life, disability insurance). Fitness centers,...Local area- Cochise Sleep Center in Sierra Vista, AZ, is seeking a Part-Time Authorization Specialist to join our healthcare team. The role focuses on obtaining insurance authorizations and verifying patient benefits prior to services. You will verify eligibility, obtain approvals...Part time
$143.5k - $187.5k
Overview The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterology, and be responsible for engaging Gastroenterologists and other key customers within an assigned geographical universe, presenting clinically...Work at officeLocal area- ...Phoenix, AZ, is seeking an Administrative Services professional to obtain and process clinical information needed for professional and medical service authorization. You will respond to patient referrals and collaborate with insurance payors to pre-certify services based on...Day shift
- Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical... ...are currently seeking a Medical Coding Specialist to join our team! This role will... ...providers and team members. Assist with claim reviews, denials, and coding-related audits...Remote jobLive inWork at office
- ...titleMedical Billing and Collection SpecialistDescriptionThe Medical Billing and Collection Specialist is responsible for a broad range of billing functions... ...duties include collections, payment posting, billing, claim submissions, medical insurance communications, and...Contract workWork at office
- ...candidate must have a High School Diploma and at least one year of experience in healthcare collections or customer service. Awareness of medical terminology and insurance policies is preferred. This position emphasizes effective communication within a supportive healthcare...
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