Phoenix, AZ · On-site
$17 - $21.25/hr
Claims Processing Executive Duration: 6-12 months Location: Onsite. Work Type: Rate: Pay range ... Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid ...
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Phoenix, AZ · On-site
$17 - $21.25/hr
Claims Processing Executive Duration: 6-12 months Location: Onsite. Work Type: Rate: Pay range ... Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid ...
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and ...
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and ...
Phoenix, AZ · On-site
$16 - $19/hr
Medicaid claims processing knowledge required. * Ability to work independently with strong attention to detail. * Strong interpersonal, organizational, time management, and communication skills.
Phoenix, AZ · On-site
$16 - $19/hr
Medicaid claims processing knowledge required. * Ability to work independently with strong attention to detail. * Strong interpersonal, organizational, time management, and communication skills.
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and ...
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and ...
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and ...
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and ...
Phoenix, AZ · On-site
$45 - $49/hr
Experience in Healthcare, Medicaid, or Claims processing. * Experience working in Agile development environments. PrideGlobal and it''s affiliates offers eligible employee''s comprehensive healthcare ...
Phoenix, AZ · On-site
$45 - $49/hr
Experience in Healthcare, Medicaid, or Claims processing. * Experience working in Agile development environments. PrideGlobal and it''s affiliates offers eligible employee''s comprehensive healthcare ...
Phoenix, AZ · On-site
ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid ... Key objectives include ensuring compliance with state and federal regulations, processing claims ...
Phoenix, AZ · On-site
ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid ... Key objectives include ensuring compliance with state and federal regulations, processing claims ...
Phoenix, AZ · On-site
ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid ... Key objectives include ensuring compliance with state and federal regulations, processing claims ...
Phoenix, AZ · On-site
ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid ... Key objectives include ensuring compliance with state and federal regulations, processing claims ...
... Medicaid populations, through advanced value-based models. Our provider network is comprised of ... Regularly review claims processing, billing, and coding to identify compliance gaps and risks
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... Medicaid populations, through advanced value-based models. Our provider network is comprised of ... Regularly review claims processing, billing, and coding to identify compliance gaps and risks
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Processing, Payment Poster, and Claims Processor. We never charge a fee to candidates, and all ...
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... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Processing, Payment Poster, and Claims Processor. We never charge a fee to candidates, and all ...
... Medicaid populations, through advanced value-based models. Our provider network is comprised of ... The Claims Supervisor position focuses on the effective processing of all delegated Medicare claims ...
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... Medicaid populations, through advanced value-based models. Our provider network is comprised of ... The Claims Supervisor position focuses on the effective processing of all delegated Medicare claims ...
Phoenix, AZ · On-site
$70K - $75K/yr
... Medicaid claims, encounters, membership and other data into consumable actionable insights via ... Develop research and analyze processes to review financial data to draw conclusions for senior ...
Phoenix, AZ · On-site
$70K - $75K/yr
... Medicaid claims, encounters, membership and other data into consumable actionable insights via ... Develop research and analyze processes to review financial data to draw conclusions for senior ...
Tucson, AZ · On-site
$17 - $22/hr
A minimum of 1 year processing claims as assigned to the primary Medicaid ERA funder * Certified Professional Coder * Active AAPC Certification Other: * Bilingual skills a plus. * Use of Microsoft ...
Tucson, AZ · On-site
$17 - $22/hr
A minimum of 1 year processing claims as assigned to the primary Medicaid ERA funder * Certified Professional Coder * Active AAPC Certification Other: * Bilingual skills a plus. * Use of Microsoft ...
Dunlap Ave Phoenix AZ 85021 Duration - 3 months Contract Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical ...
Dunlap Ave Phoenix AZ 85021 Duration - 3 months Contract Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical ...
Glendale, AZ · On-site
Dunlap Ave Phoenix AZ 85021 Duration - 3 months Contract Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical ...
Glendale, AZ · On-site
Dunlap Ave Phoenix AZ 85021 Duration - 3 months Contract Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical ...
Phoenix, AZ · On-site
$115/hr
... Medicaid claims data, including experience navigating common data quality and completeness challenges * Direct experience taking measures through NCQA's HEDIS Measure Certification process ...
Phoenix, AZ · On-site
$115/hr
... Medicaid claims data, including experience navigating common data quality and completeness challenges * Direct experience taking measures through NCQA's HEDIS Measure Certification process ...
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Prescott, AZ · On-site
$18 - $21/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. Company Description TTF is a recruiting firm that partners with companies ...
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Prescott, AZ · On-site
$18 - $21/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. Company Description TTF is a recruiting firm that partners with companies ...
$17.25 - $22/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. IND #2
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$17.25 - $22/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. IND #2
$17 - $21.75/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. IND #2
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$17 - $21.75/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. IND #2
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Glendale, AZ · On-site
$18 - $21/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. Company Description TTF is a recruiting firm that partners with companies ...
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Glendale, AZ · On-site
$18 - $21/hr
... Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections ... Claims Processing. Company Description TTF is a recruiting firm that partners with companies ...
A Medicaid Claims Processing job involves reviewing, verifying, and processing healthcare claims submitted by providers seeking reimbursement for services rendered to Medicaid beneficiaries. Workers in this role ensure claims comply with state and federal regulations, identify errors or discrepancies, and communicate with healthcare providers to resolve issues. They may also use specialized software to input and track claims, process denials or appeals, and ensure timely and accurate payments. Strong attention to detail, knowledge of Medicaid policies, and proficiency with healthcare billing codes are essential for success in this role.
One of the main challenges in Medicaid Claims Processing is staying up-to-date with frequently changing policies, billing codes, and compliance requirements, which can vary by state and program. Professionals in this role must pay close attention to detail to avoid errors and denials, often working with tight deadlines and large volumes of claims. To prepare, it's helpful to become familiar with Medicaid guidelines, maintain strong organizational habits, and proactively seek out updates in regulations or coding standards. Collaborating with other team members, such as care coordinators and billing specialists, is essential to ensure claims are accurate and properly documented. Ongoing learning and adaptability are key for long-term success in this dynamic environment.
Success in Medicaid Claims Processing requires excellent attention to detail, a thorough understanding of healthcare billing procedures, and familiarity with Medicaid regulations and insurance guidelines. Proficiency in medical billing software, claims management systems, and sometimes industry certifications such as Certified Professional Coder (CPC) is beneficial. Strong organizational skills, problem-solving abilities, and effective written and verbal communication help individuals excel in this role. These skills and qualifications are crucial for ensuring accurate, timely claims processing and compliance with ever-evolving Medicaid requirements.
$17 - $21.25/hr
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Posted 8 days ago
