Medical Claims Specialist Jobs in Arizona

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Description: The Director Healthcare Economics is a client-facing role. He/She will manage and mentor a team of between 20-30 direct and indirect reports in our Phoenix office and other locations. The Director will be a thought leader for the Business Intelligence team, will shape and execute business intelligence strategy for UHC Community & State. This position will manage relationships with key...
We are looking for a Trainer with at least 3 years of experience as a Trainer in the Medical Claims area. Experience as a trainer in the PBM area is highly preferred. Must have an Associates or Bachelors Degree Excellent Communication Skills Proven track record of managing a team and demonstrated improvement financially, and in quality and team morale Excellent leadership qualities Selected candid...
Description: Position Description: Bring your marketing bravado, and help change the world one bold idea at a time. You can help drive the change that improves the health care system for the benefit of millions. Uses pertinent data and facts to identify and solve a range of problems within area of expertise. Investigates non-standard requests and problems, with some assistance from others. Works e...
APAC Customer Services, Inc., an EGS Company, is a leading provider of customer interaction solutions for market leaders in communications, financial services, insurance, healthcare, logistics and travel and hospitality. APAC partners with its clients to deliver custom solutions that enhance bottom line performance. Founded in 1973 the company employs a diverse global workforce in several customer...
Description: Position Description: Positions in this function work in the analysis phase of the system development cycle and consult with users to evaluate business requirements, identify operating procedures, evaluate existing or proposed systems and prepare and document detailed system specifications from which programs will be written. This function also is intended to include those that also m...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of home care, hospice and healthcare staffing, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. From RNs to Physical Therapists, LPNs to Caregivers, Interim offers a variety o...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of home care, hospice and healthcare staffing, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. From RNs to Physical Therapists, LPNs to Caregivers, Interim offers a variety o...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of homecare, hospice and healthcare staffing, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. We have positions available for Home Health Aides (HHAS) in home healthcare rang...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of homecare, hospice and healthcare staffing, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. We have positions available for Home Health Aides (HHAS) in home healthcare rang...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of healthcare staffing and home healthcare services, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. We have positions available for Caregivers, Homemakers and Companions, In...
Interim HealthCare® provides the flexible assignments you need to fit your life — and your priorities. As America’s largest provider of healthcare staffing and home healthcare services, chances are, we have the right assignment to fit your life’s needs — as well as the resources and opportunities to help you grow and thrive. We have positions available for Caregivers, Homemakers and Companions, In...
Accounting Principals/Ajilon Professional Staffing is the fastest-growing staffing service in the world specializing in the temporary and permanent placement of premier Non-Clinical Healthcare professionals. Everyday, we place these pre-screened, highly-qualified men and women in both temporary and direct hire roles with companies throughout the United States. We are currently recruiting for sever...
SEEKING HEALTHCARE LIASON - RN, Peoria, AZ Ideal candidate. * RN/LPN or Social Worker, Sales Professional knowledgeable in healtcare sales * Should have a minimum of 3 years of experience in sales/marketing & healthcare sales * SNF/LTC experience preferred * Proficiency in Microsoft Word, Excel and database systems is required * Experience with marketing software programs HEALTHCARE LIASON. will b...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. This may include participation in telephone calls or meetings with providers, clients and investigative team. Ensure adherence to state and federal...
Sales Representatives sought to join Rotech Healthcare Inc.'s successful sales team. Currently we are seeking a professional and dedicated Sales Representative with a background in respiratory services, durable medical equipment sales or home medical equipment sales to help us grow our business. Responsibilities: Establish and maintain relationships with doctors, hospitals, clinics, pharmacies, lo...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.Our customer service teams have a serious responsibility to make every contact informative, producti...
Description: Position Description: Primary responsibilities on a day to day basis include communicating with primary care physicians and their office staff, for the purposes of educating them about Lifeprint as a health care delivery system, the requirements of network participation, how to read, interpret and act on monthly metric reports that include utilization, cost data and quality measures....
Position Summary: The Ambulatory Systems Engineer will provide software engineering knowledge, guidance, research and fact finding expertise to define, design, develop, and modify specifications and processes of complex information system applications and template, primarily NextGen. These duties include specifications definition, development and maintenance of templates and data extracts to suppo...
Description: Position in this function include RN (with current licensure) who responsible for utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination....
Direct team in support of high level projects and strategic situations that adversely impact the pharmacy audience (MAC decreases, implementation of new reimbursement formulas, such as WAC or AMP, unusual client-specific contracting initiatives and the addition of multiple pharmacy systems (RxAmerica, Aetna). Provide an escalation path for team and work cross functionally with account teams, IT, F...
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Answers for Medical Claims Specialist Jobs

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Can a Brit apply for US jobs from the UK?
To apply for a job in the US online and to be taken seriously by an employer, must I be based in the US at that moment? Do I need a visa? I am a British citizen based in the UK but planning to move to...
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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Arizona
(238 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.7%
Some College Coursework Completed
22%
Associates
16.7%
High School
14.5%
Certification
11.8%
Vocational
7.5%
(186 Respondents)
Source: Monster.com Careerbenchmarking Tool

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