Scottsdale, AZ · On-site
$19.50 - $26.25/hr
Temporary Skilled Nursing Facility ALTCS/HMO Billing Specialist Job Summary: At Rehab at Scottsdale Village Square, we are seeking a highly skilled and detail-oriented Temporary Skilled Nursing ...
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Scottsdale, AZ · On-site
$19.50 - $26.25/hr
Temporary Skilled Nursing Facility ALTCS/HMO Billing Specialist Job Summary: At Rehab at Scottsdale Village Square, we are seeking a highly skilled and detail-oriented Temporary Skilled Nursing ...
$19 - $25.50/hr
HMO, Business Solutions. Continuously updates patient information provided so that patient records are accurately updated. * Demonstrate knowledge of when to escalate call to provider or pharmacist.
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$19 - $25.50/hr
HMO, Business Solutions. Continuously updates patient information provided so that patient records are accurately updated. * Demonstrate knowledge of when to escalate call to provider or pharmacist.
Mesa, AZ · On-site
$14 - $20/hr
We take most Insurances but do not take HMO's or DMO's. Our Patients have a high Dental IQ and come in routinely for their Hygiene visits. Their is a expectation that any disease process will be met ...
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Mesa, AZ · On-site
$14 - $20/hr
We take most Insurances but do not take HMO's or DMO's. Our Patients have a high Dental IQ and come in routinely for their Hygiene visits. Their is a expectation that any disease process will be met ...
Mesa, AZ · On-site
$14 - $20/hr
We take most Insurances but do not take HMO's or DMO's. Our Patients have a high Dental IQ and come in routinely for their Hygiene visits. Their is a expectation that any disease process will be met ...
Quick apply
Mesa, AZ · On-site
$14 - $20/hr
We take most Insurances but do not take HMO's or DMO's. Our Patients have a high Dental IQ and come in routinely for their Hygiene visits. Their is a expectation that any disease process will be met ...
Payor mix is 52% Medicare, 7% managed care, 15% Medicaid, 2% commercial, 5% HMO, 12% Blue Cross and 7% other. 12 bed ICU. Very large referral base, including primary and secondary markets. Primary ...
Payor mix is 52% Medicare, 7% managed care, 15% Medicaid, 2% commercial, 5% HMO, 12% Blue Cross and 7% other. 12 bed ICU. Very large referral base, including primary and secondary markets. Primary ...
$16.75 - $22/hr
Must know Dentrix * 2+ years of treatment coordination and dental insurance experience (PPO, HMO, indemnity, and government plans) * Strong customer service, communication, and organizational skills
$16.75 - $22/hr
Must know Dentrix * 2+ years of treatment coordination and dental insurance experience (PPO, HMO, indemnity, and government plans) * Strong customer service, communication, and organizational skills
Phoenix, AZ · On-site
$26 - $35/hr
We do not accept any HMO's Assistant Hours are as follows: * Monday 8:30-5 * Tuesday 8:30-6 * Wednesday :8:30-6 * Thursday 8:30-5 Benefits * Meaningful Work * Team Environment Apply today!
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Phoenix, AZ · On-site
$26 - $35/hr
We do not accept any HMO's Assistant Hours are as follows: * Monday 8:30-5 * Tuesday 8:30-6 * Wednesday :8:30-6 * Thursday 8:30-5 Benefits * Meaningful Work * Team Environment Apply today!
Benefits: - BCBS HMO & PPO medical coverage- 403(b) with employer match up to 4% after 1 year- CME: 40 hours + up to $3K reimbursement annually- Tuition reimbursement up to $2K/year after 1 year- 18 ...
Benefits: - BCBS HMO & PPO medical coverage- 403(b) with employer match up to 4% after 1 year- CME: 40 hours + up to $3K reimbursement annually- Tuition reimbursement up to $2K/year after 1 year- 18 ...
Benefits: - BCBS HMO & PPO medical coverage- 403(b) with employer match up to 4% after 1 year- CME: 40 hours + up to $3K reimbursement annually- Tuition reimbursement up to $2K/year after 1 year- 18 ...
Benefits: - BCBS HMO & PPO medical coverage- 403(b) with employer match up to 4% after 1 year- CME: 40 hours + up to $3K reimbursement annually- Tuition reimbursement up to $2K/year after 1 year- 18 ...
$146K - $189K/yr
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
$146K - $189K/yr
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Tucson, AZ · On-site
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (N₂O, oral, IV) * Advanced technology, including iTero, CBCT ...
Tucson, AZ · On-site
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (N₂O, oral, IV) * Advanced technology, including iTero, CBCT ...
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
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PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
Benefits: • BCBS HMO & PPO medical coverage • 403(b) with employer match up to 4% after 1 year • CME: 40 hours + up to $3K reimbursement annually • Tuition reimbursement up to $2K/year after ...
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (NO, oral, IV) * Advanced technology, including iTero, CBCT ...
Tucson, AZ · On-site
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (N₂O, oral, IV) * Advanced technology, including iTero, CBCT ...
Tucson, AZ · On-site
PPO/FFS patient base (no Medicaid or HMO) * Opportunity to perform a wide range of procedures, including Implants, Veneers, and Sedation (N₂O, oral, IV) * Advanced technology, including iTero, CBCT ...
$81K - $122K/yr
Coordinates and acts as a business partner on projects that ensures accurate facility and provider reimbursement policy and procedures, such as pricing, POC, OHAS HMO AND OHAS II, complaints and ...
$81K - $122K/yr
Coordinates and acts as a business partner on projects that ensures accurate facility and provider reimbursement policy and procedures, such as pricing, POC, OHAS HMO AND OHAS II, complaints and ...
$9.57 - $12.14
6% of jobs
$12.14 - $14.70
6% of jobs
$15.99 is the 25th percentile. Wages below this are outliers.
$14.70 - $17.27
25% of jobs
The median wage is $19.47 / hr.
$17.27 - $19.84
15% of jobs
$19.84 - $22.40
5% of jobs
$22.40 - $24.97
9% of jobs
$27.03 is the 75th percentile. Wages above this are outliers.
$24.97 - $27.54
10% of jobs
$27.54 - $30.11
7% of jobs
$30.11 - $32.67
4% of jobs
$32.67 - $35.24
6% of jobs
$35.24 - $37.81
5% of jobs
$9
$22
$37
As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.
An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.
To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.
Scottsdale, AZ • On-site
$19.50 - $26.25/hr
Full-time
Posted 16 days ago
Temporary Skilled Nursing Facility ALTCS/HMO Billing Specialist
Job Summary:
At Rehab at Scottsdale Village Square, we are seeking a highly skilled and detail-oriented Temporary Skilled Nursing Facility ALTCS/HMO Billing Specialist to join our team in Scottsdale, Arizona. As a key member of our team, you will play a critical role in ensuring the smooth operation of our billing processes, while maintaining a dedication to excellence and a passion for delivering exceptional patient care.
Responsibilities:
Billing Specialist: Accurately and efficiently process and submit claims for services rendered to Medicaid and HMO entities, adhering to strict deadlines and regulatory requirements.
Data Integrity: Maintain accurate and up-to-date records of patient billing information, insurance coverage, and appeals.
Communication: Collaborate with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure timely payment.
Compliance: Stay current with industry regulations and changes in insurance policies, ensuring compliance with all relevant laws and guidelines.
Teamwork: Work closely with the billing team to ensure seamless integration with other departments, including admissions, therapy, and medical records.
Requirements:
Skilled Nursing Facility Billing Experience: Familiarity with Medicaid and HMO billing processes, as well as experience with electronic billing systems.
Accurate Data Entry: Excellent data entry skills, with attention to detail and ability to maintain high levels of accuracy.
Effective Communication: Strong communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
Time Management: Proven ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines in a fast-paced environment.
About Our Company:
At Rehab at Scottsdale Village Square, we promote wellness and independence through a team of skilled professionals who care about you or your loved one individually. We strive to be an industry leader by upholding standards measured by defined clinical outcomes, customer service programs, and financial sustainability.
Why Join Our Team:
Dynamic Environment: Opportunity to work in a dynamic and fast-paced healthcare setting, with a focus on delivering exceptional patient care.
Skilled Team: Collaborate with a dedicated team of healthcare professionals who share your passion for delivering high-quality care.
Personalized Support: Receive personalized support and guidance from experienced supervisors and colleagues.
If you are a motivated and detail-oriented professional looking for a new challenge, we invite you to apply for this exciting opportunity. Temporary Skilled Nursing Facility ALTCS/HMO Billing Specialist - join our team today!
