ZipRecruiter

Log In

2

Contract Remote Hcc Coder Jobs in Arizona (NOW HIRING)

Faithtechnologies

Project Controls Manager

Phoenix, AZ · Remote

... Coding Structures for control and integrity of work to be performed as defined by the contract ... REMOTE How Does FTI Give YOU the Chance to Thrive? If you're energized by new challenges, FTI ...

IntraEdge

Senior QA Automation Engineer

Phoenix, AZ · Remote

This is a fully remote position. You will be responsible for developing scalable test automation ... Champion code quality through peer reviews of automated tests and adherence to engineering ...

SSOE, Inc.

Senior Project Manager

Phoenix, AZ · On-site +1

$130K - $160K/yr

May be eligible for a fully remote work schedule per company policy. * Competitive Salary : $130k ... Manage contracts for external consultants and services. * Mentor project managers, support project ...

IntraEdge

Senior QA Automation Engineer

Phoenix, AZ · Remote

This is a fully remote position. You will be responsible for developing scalable test automation ... Champion code quality through peer reviews of automated tests and adherence to engineering ...

Naval Air Systems Command

General Engineer

Tucson, AZ · On-site +1

$91K - $140K/yr

... Code 3326. * Males born after 12-31-59 must be registered for Selective Service. * You will be ... remote or isolated sites. You must be able to travel on military and commercial aircraft for ...

previous page

Showing results 41-55

All JobsContract Hcc Coder JobsContract Remote Hcc Coder JobsContract Remote Hcc Coder Jobs in Arizona

Contract Remote Hcc Coder information

What is the difference between Contract Remote Hcc Coder vs Contract Remote Medical Coder?

AspectContract Remote Hcc CoderContract Remote Medical Coder
CertificationsHCC coding certifications, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentRemote, healthcare organizations, insurance companiesRemote, hospitals, clinics, insurance companies
Industry UsagePrimarily in Medicare Advantage and risk adjustmentGeneral medical billing and coding across healthcare settings

Contract Remote Hcc Coders focus on risk adjustment coding for Medicare Advantage plans, requiring HCC-specific certifications. Contract Remote Medical Coders handle a broader range of medical billing and coding tasks across various healthcare providers. While both work remotely and require similar credentials, their primary responsibilities and industry focus differ.

What are the most commonly searched types of Remote Hcc Coder jobs in Arizona? The most popular types of Remote Hcc Coder jobs in Arizona are:
Contract Remote Hcc Coder jobs near you

Pharmacy Claims Adjudication Specialist

Onco360

Scottsdale, AZ • Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 112 rated pharmacies

Job description

W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ. This will be a Full-Time position. This is a remote hybrid opportunity, after onsite training period.
Shift time between 8am and 8pm.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $23.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits - life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections
Pharmacy Adjudication Specialists at Onco360...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documents and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/Knowledge
    • Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Required: Registration with Board of Pharmacy as required by state law
    • Desired: Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
#Company Values: Teamwork, Respect, Integrity, Passion
#IH
Employment Type: Full Time

What Onco360 employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply