Trabajos medical billing coding en Tucson, ArizonaCrear alertas

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and

Job DescriptionDescription: $1,500 Sign-on Bonus for Full-time positions!! Bring a friend and earn up to a $2,000 Referral Bonus! Are you tired of working for a company that doesn't support you or the daily hassle of running a private practice? Come share your talents with a therapist-friendly organization that will help you achieve your career goals by removing barriers to your success. Entune Behavioral Health is an outpatient Behavioral Health Provider that offers individual, couples, and family therapy as well as other Behavioral Health services throughout Arizona. We are currently hiring dynamic Licensed Therapist to meet the high demand of our behavioral health services at our Tucson, AZ location. Primary responsibilities for Licensed Therapist include completing initial and ongoing assessments of client's assigned to your panel, providing individual, group, couples, and family counseling, maintaining client-related paperwork (diagnosis bill, assessments, progress notes, and other required forms), evaluating physical and/or mental conditions based on review of information through staffing with the integrated treatment team and observation of the client, referring members to community resources and internal services as necessary and engage in population health, maintaining confidentiality of records aligning with HIPPA requirements, assessing for risk of harm to self and others and providing evidence-based driven measures to enhance outcomes of the client and align with Entune Behavioral Health's values. Independently licensed, you will conduct reviews and sign off on assessments, service plans, and other BHP requirements of associate-level staff. Additional responsibilities as appropriate. Full-time and part-time positions are available. Full-time Benefits include: • Annual CE Stipend, • CEU and Licensure reimbursement, • Clinical Supervision provided at no cost, • AI-assisted documentation software that takes the stress out of documentation, • Personalized office space you can tailor to meet your needs, • Dedicated marketing and client referral development team to build your caseload, • Reliable scheduling and front office support team to help manage your client visits, • Competent coding, billing and claims reconciliation team to work with payors, • Professional referral bonuses, • Medical, Health Savings Account (HSA), Vision, Dental, Short-term, Long-term Disability, Life insurance, • 401K and Local Financial Advisors, • Employee Assistance Plan, • Paid Sick Leave, • Paid Time Off (personal leave)Requirements: QUALIFICATIONS AND EDUCATION REQUIREMENTS • Licensed clinician (required) (LPC, LCSW, LMFT, LAC, LMSW), • Evening and weekend availability (preferred), • Specializing in Child & Adolescent Therapy, • Specializing in Play Therapy techniques, • Master’s degree in counseling, social work, or related field, • Active License in the state of Arizona (required), • Current CPR, AED, First Aid certifications (preferred), • Current DPS Level One Fingerprint Clearance Card (required), • Bilingual (preferred), • Knowledge of Microsoft Software especially 365 platform, • Experience with electronic health records (EHR), • Strong organizational skills and communication skills, • Knowledge of integrated healthcare delivery models Note: This job description is intended to provide a general overview of the position, Licensed Therapist. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role. *Sunbelt Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training

Job Description Summary: Working in coordination with the other members of the Center Leadership Team and under Direction of the Regional Medical Directors, the Center Medical Director shall deliver the highest quality healthcare in an efficient, affordable, and caring manner. The Center Medical Director drives daily center execution following the industrial athlete model, inspires colleague accountability to provide superb patient and employer experience, and is responsible for the assigned clinic’s daily medical functions. The Center Medical Director’s leadership combines broad vision with a critical eye for internal operations and quality assurance. The Center Medical Director contributes to the success of MBI’s business strategy by providing deep subject matter expertise as appropriate, ensuring medical operations are meeting key performance indicators, educating clinical staff, and helping drive business growth and retention at the Center level. Work Schedule: 4 days weekly, 8:00 AM to 5:00 PM Salary: $240,000 - $270,000 annually based on experience Job duties and qualifications listed below are in addition to the “Physician” job description. Patient Care/Customer Experience/Quality: • Delivers direct patient care both in clinic and via tele-medicine according to the established principles of clinical practice and the current organization plan or need., • Ensuring integrity of all clinical procedures, documentation, and the maintenance of up-to-date protocols, including risk management., • Ensures day-to-day execution of quality care, and customer and colleague satisfaction., • Ensures compliance with individual State Practice Act/Rules and Regulations/WC Regulations., • Utilizes Evidence Based Medicine with a focus on early intervention and patient empowerment/responsibility. Creates an appropriate treatment environment and ensures documentation and billing are clear, relevant, accurate, and thorough., • Works with Regional & State Medical Directors to manage clinical staffing, scheduling, and operations, in order to optimize patient outcomes while meeting key performance indicators., • Strives to execute Center goals to build customer loyalty. Serves as the primary contact point for Employers/Clients with questions regarding the medical care of the injured employee., • Responds quickly and professionally to requests of employer clients, including on site tours and educational presentations., • Supervises pre-employment testing program, including working with Sales and Clinic Administrator to facilitate new client set up process. Leadership/People Development: • Leader of the Medical Center, alongside the Center Administrator. Provides Center’s clinical and quality oversight. Identifies clinical improvement opportunities and works with clinical leadership to improve., • Leverages clinical guidance for resolving provider quality issues., • Attends and co-leads weekly Clinic Leadership Team “CLT” meetings., • Assesses strengths and developmental opportunities of medical providers. Provides access to training and incentive plan information (where applicable) to enhance colleague performance., • Fosters a “community of Practice” through peer-based learning and interaction with clinical colleagues., • Provides input into the design and implementation of educational programs for patients, employers, and medical staff., • Shapes the culture of the Medical Center. Consistently recognizes individual performance and encourages progression. Motivates and inspires team to higher levels of engagement, productivity, and personal achievement. Provides regular, timely guidance/feedback., • Building trust within the clinical team, leading by example; makes choices that are consistent with MBI ethical principles; is emotionally intelligent; manages self and relationships effectively., • Facilitates resolution of interpersonal and performance issues of medical providers at the Center., • Supervision: provides peer review of junior providers including periodic chart reviews and feedback sessions that focus on maintaining the highest standards of patient care, documentation, and accurate billing/coding., • Training of MA support staff’s clinical skills. Growth and Financial Analysis: • Builds relationships with new and existing clients. Provides onsite tours of the clinic and discusses the MBI model treatment model to gain trust and grow the client base., • Reviews Center financial performance and KPI’s with the CA to ensure optimal results and implement action plans, as needed., • Works with Regional and State Medical Directors regularly to understand all financial aspects of the clinic’s productivity (practice patterns, referrals, scheduling, patients per hour, P&L etc...)., • Ensures level of service/coding is being optimized for every visit and is supported by appropriate documentation Supervision: • Supervisory responsibility for all Physicians, APPs, Radiology Techs and Medical Assistants in the Center., • Supervision includes yearly written evaluations, assessment, definition, and/or modification of individual job duties of Physicians, Nurse Practitioners, and Physician Assistants, • Collaboration with CA for annual reviews of Medical Assistants and X-ray Technicians. Requirements: • MD/DO, • Occupational Medicine experience preferred, but we are willing to train otherwise qualified candidates with experience in UC, FP, IM, ER, Sports Medicine, or Ortho, • FMCSA certification for DOT exams, or ability to obtain within 60 days of hire., • Current state licensure in good standing (or in process), • Current DEA licensure, • Current BLS certificate, • Solid, demonstrated knowledge of the practice and application of occupational medicine. Working knowledge of laws and regulations governing rehabilitation services; of worker’s compensation and clinical procedures/processes; and of diagnoses and treatment of occupational injury and disease., • Working knowledge of medical office administration and procedures. Sound administration and management skills., • Ability to instruct, teach, and correct. Confident and professional demeanor with medical providers, administrators, and clients., • Board Certification in primary specialty: Occupational Med, Family Med, Internal Med, Emergency Med, PMR, Orthopedics (preferred, others will be considered), • MRO certification preferred, • Ability to perform treadmill stress tests, preferred.

Job Description Job Title: Medical Coder (Full-Time) Location: Tucson, Arizona Employment Type: Full-Time Position Summary: We are seeking a detail-oriented and reliable Medical Coder to join our healthcare team in Tucson, Arizona. The Medical Coder will be responsible for accurately reviewing, assigning, and verifying diagnostic and procedural codes for patient records to ensure proper billing and compliance with all applicable regulations. This role plays a key part in optimizing revenue cycle performance while maintaining high standards of accuracy and confidentiality. Key Responsibilities: • Review patient medical records, provider notes, and clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes, • Ensure coding accuracy and compliance with federal, state, and payer-specific regulations, • Work closely with healthcare providers to clarify diagnoses and procedures as needed, • Identify and resolve coding discrepancies or denials, • Maintain up-to-date knowledge of coding guidelines, regulations, and industry standards, • Assist with audits and support internal compliance initiatives, • Collaborate with billing and revenue cycle teams to ensure timely and accurate claim submissions Qualifications: • High school diploma or equivalent required; associate degree in Health Information Management or related field preferred, • Certified Professional Coder (CPC) certification preferred, • Minimum of 1–2 years of medical coding experience preferred, • Strong knowledge of ICD-10, CPT, and HCPCS coding systems, • Familiarity with electronic health record (EHR) systems, • Excellent attention to detail and organizational skills, • Strong communication and problem-solving abilities Work Environment & Schedule: • Full-time position (typically 40 hours per week), • On-site or hybrid work options may be available depending on employer needs, • Standard business hours, Monday through Friday Benefits (may vary by employer): • Competitive salary, • Health, dental, and vision insurance, • Paid time off and holidays, • Retirement plan options, • Continuing education and certification support

Job DescriptionLocation: Tucson Employment Type: Full-Time Schedule: Monday – Friday Our multi-location healthcare organization is seeking a highly organized professional who understands both medical billing/coding and provider credentialing and can support operational improvements within the revenue cycle. Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes Ensure coding complies with payer regulations and industry guidelines Identify documentation gaps and communicate with providers when clarification is required Support coding compliance and documentation improvement Claims & Billing Prepare and submit electronic claims through the practice management system Monitor claim status and follow up on unpaid or denied claims Investigate claim rejections and coordinate corrections with staff Work with clearinghouses and insurance payers to resolve billing issues Revenue Cycle Management Monitor and manage accounts receivable Track aging reports and follow up on outstanding balances Investigate underpayments and payer discrepancies Support efforts to improve clean claim rate and reduce days in A/R Provider Credentialing & Enrollment Manage provider credentialing and recredentialing with commercial and government payers Maintain provider enrollment records and credentialing documentation Track credentialing timelines and renewal deadlines Coordinate payer enrollment applications and updates Ensure provider information is accurately reflected in payer systems Work with leadership and providers to ensure timely credentialing during onboarding Compliance & Quality Maintain compliance with billing regulations and payer policies Support internal billing and coding audits Ensure HIPAA compliance and protection of patient data Reporting & Operational Support Generate billing, collections, and credentialing status reports Identify opportunities to improve billing workflows and revenue cycle performance Collaborate with leadership to improve operational efficiency Qualifications Required Minimum 3 years experience in medical billing, coding, or revenue cycle management Experience with provider credentialing and payer enrollment Strong knowledge of ICD-10, CPT, and HCPCS coding Experience working with insurance payers and claim follow-up Strong attention to detail and organizational skills Preferred CPC, CCS, or equivalent coding certification Experience in dermatology or outpatient specialty practices Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems Knowledge of dermatology procedures, Mohs surgery billing, or cosmetic services Key Competencies Strong analytical and problem-solving abilities Excellent attention to detail Ability to manage multiple priorities and deadlines Strong communication skills with clinical and administrative teams Commitment to compliance and billing accuracy What We Offer Competitive compensation based on experience Monday–Friday work schedule Professional and collaborative work environment Opportunity to support and improve revenue cycle operations within a growing healthcare organization Powered by JazzHR r4KjaZACZY

Job Description The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding in order to monitor and manage accounts, claims, claims resolution, accounts receivable, and posting of AHCCCS claims. This position must follow-up on outstanding accounts by monitoring and executing various billing functions. Various Financial and Productivity reports will be submitted daily, weekly, to various departments. This is not a remote position. This position is a PT/FT position (24-32 hours weekly). Note: Applicants must demonstrate understanding of AHCCCS billing processes and terminology as well as other types of insurances. In addition applicants must be able to demonstrate ability to properly process and submit claims and reconcile denials. Applicants must have experience completing the insurance credentialing process. Duties: • Submit billing in a timely manner daily to AHCCCS insurances through various portals., • Create reports on billing levels on a weekly basis., • Assists with physical site upkeep. (Cleaning, sanitizing, emptying trash, vacuuming etc.), • Keep track and process accounts and incoming payments in compliance with financial policies and procedures. Send daily / weekly reports to CEO, • Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data., • Verify discrepancies and resolve client’s billing issues and reconcile all payments received from insurance companies and with the services provided., • Work in multiple software systems to accomplish AR results., • Generate financial statements and reports detaining accounts receivable status., • Serve as the liaison to therapist and AHCCCS Prior Authorization Department, • Tracking and organizing insurance information, following up on all claim denials., • Effectively communicating billing, insurance, and coverage criteria updates with staff and management., • Understanding of the insurance credentialing process., • Keep up with compliance, coverage criteria, ICD-10 information and update supervisors and team as needed., • Assists with general office cleaning and maintaining the conference room area and other areas of the office., • *Other duties as assigned. Requirements: • High School Diploma or GED, • Must Have Minimum of 2 to 3 years’ experience in Medical Billing, Billing and Coding Credential is required in addition to experience billing AHCCCS AIHP, AZ Complete, UHC/Optum, Blue Cross Blue Shield and other insurances. Applicant must be able to demonstrate competency with these Insurances plans and the claims processes., • Confidentiality of Protected Health Information., • Proven ability to calculate post and manage accounting figures and financial records., • Data entry skills and knowledgeable in arithmetic and statistics., • Excellent verbal and written communication skills. Proficiency in English and Spanish preferred., • Customer service orientation and negotiation skills., • High degree of accuracy and attention to detail, • Bachelors degree in Finance preferred. Some academic training in accounting required. Must have a Valid Arizona Driver License, Proof of Valid Insurance, Current Level 1 AZDPS Finger Print Clearance Card, CPR and First Aid Certification, Recent Negative TB Test and maintain these items during employment. This is an in-person position only, no remote options.

Job Description Overview We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. This role is crucial in ensuring accurate coding and billing for medical services, which directly impacts the financial health of our organization. The ideal candidate will possess a strong understanding of medical terminology, coding systems, and billing processes, with a commitment to maintaining the highest standards of accuracy and compliance. Duties • Review and analyze patient records to ensure accurate coding of diagnoses and procedures using ICD-10 systems., • Process medical billing claims in accordance with established guidelines and protocols., • Maintain up-to-date knowledge of medical coding regulations, including DRG (Diagnosis-Related Group) guidelines., • Collaborate with healthcare providers to clarify any discrepancies in medical records or billing information., • Conduct medical collections as necessary, following ethical practices to resolve outstanding accounts., • Utilize electronic health record (EHR) systems effectively for documentation and billing purposes., • Ensure compliance with all relevant laws and regulations related to medical billing and coding practices., • Stay informed about changes in coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance. Requirements • Proven experience in medical billing and coding, with proficiency in ICD-10 coding systems., • Strong knowledge of medical terminology and familiarity with various medical records systems., • Experience with medical collection processes is preferred., • Detail-oriented with excellent analytical skills to ensure accuracy in coding and billing practices., • Ability to work independently as well as collaboratively within a team environment., • Strong communication skills, both verbal and written, to effectively interact with healthcare providers and patients., • Certification in medical billing or coding (e.g., CPC, CCS). Join our dedicated team of professionals committed to delivering exceptional healthcare services while ensuring the integrity of our billing processes! Job Type: Part-Time/Per Diem Benefits: • 401(k), • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Qualifications: • High School Diploma, • AHIMA or AAPC Certification, • One year of work experience in medical setting, • Knowledge for medical terminology, • Word processing and computer experience Schedule: • 8 hour shift, • Days Vary Work Location: In person

Job DescriptionDescriptionPay Range: Registered Therapists (PT/OT/SLP): $48-58 per hour Assistant Therapists (PTA/COTA): $38-$45 per hour TMC is a therapy provider that brings physical, occupational, and speech therapy services to long term care providers. We are growing and looking for an Rehab Director to join and lead the team. We want a therapist that believes in the benefits of therapy and has a passion for what they do. Giving back is at the core of everything we do. TMC is committed to our team members, helping them enhance skills, remain current on regulations, stay up to date on innovative technology, and advance their personal and professional growth. If you are looking for an opportunity where you can see your career grow and be part of something incredible, TMC is the place for you. We take pride in offering growth opportunities as we seek leadership within our current teams. TMC is also committed to a culture of caring, not just for those we serve, but for our own team members. With TMC, therapy doesn’t just make a living; it makes a difference. Come be part of something bigger than a job! Key ResponsibilitiesOn-Site leadership of one location overseeing physical therapists, occupational therapists, and pathologists, your key responsibilities will include managerial, clinical, and administrative duties. The top focus is team members, patients, and customer experiences. Your role will be pivotal in ensuring the highest standards of care and operational efficiency. Here are your core responsibilities: • Clinical Oversight: Ensure the delivery of physical therapy, occupational therapy, and speech therapy across all locations is performed at the highest standards of clinical excellence and evidence-based practice. Monitor and assess the quality of care provided, intervening when necessary to guide improvements., • Compliance and Regulation: Regularly review and enforce compliance with all relevant healthcare regulations and standards, pertaining to physical therapy, occupational therapy, and speech-language pathology services. This includes ensuring that all practitioners maintain current licensure and certifications., • Staff Development: Mentor and lead ongoing professional development and training programs for physical therapists, occupational therapists, and speech language pathologists to foster their clinical skills, professional growth, and adherence to best practices in patient care., • Interdisciplinary Collaboration: Facilitate and encourage effective collaboration among all disciplines, PT, OT, and SLP to ensure a multidisciplinary approach is used to maximize outcomes., • Resource Management: Allocate physical, financial, and human resources efficiently across sites to meet the operational needs of physical therapy, occupational therapy, and speech-language pathology services, optimizing patient care and staff satisfaction. Physical Therapists and Assistants, Occupational Therapists and Assistants, and Speech Language Pathologists are welcome to apply., • Supports the Mission, Values and Vision of TMC and the facility., • Leads and directs the work of others., • Utilizes all relevant data and clinical judgement to ensure appropriate delivery of therapy care to maximize outcomes and meet desired goals at discharge., • Plan and schedule staff based on clinical needs of patients., • Maintaining ongoing communication with facility skilled services team regarding variances from the care plan or transfer/discharge plan that effect reimbursement and maximizes outcomes., • Intervening to overcome deviations in the expected plan of care that would affect safe patient discharge and re-hospitalization. Assisting with stabilization of medical condition immediately., • Assist with needed training regarding appropriate coding, documentation and assessment to support accurate continuity of utilization and medical necessity., • Promote clinical program within their market with quality outcome reporting, delivery of risk based programs and hospital relationships, • Oversee New Hire Orientation to ensure components are completed in accordance with Human Resource policies prior to beginning work and/or patient care. Educate all new hires with regard to company policies, protocols and daily responsibilities., • Attend and participate in facility and company meetings as appropriate., • Ensure accuracy, timeliness and organization of all paperwork in accordance with Medicare and company requirements., • Ensure accuracy, timeliness, and organization of billing and payroll logs according to company policies., • Manage and assist therapists to maximize patient care support and efficiency., • Inform team members of all changes to policies and procedures as dictated by facility, Medicare, insurance, and TMC to ensure quality assurance and compliance with all regulatory requirements., • Responsible for daily interaction with facility and staff; promote a positive work environment and provide (and promote) the TMC Experience., • Assist in the maintenance and implementation of special programs., • Promote employee development and clinical program enhancement as indicated., • Complete required performance appraisals for therapy staff, which will include making recommendations with regard to new hires and promotional situations., • Counsel staff when necessary via PGAP with direct input and approval from Area Manager, Regional Director, Vice President Operations and Human Resources. This will include all levels of discipline from informal staff meetings to terminations., • Ensure therapy department has sufficient supplies/equipment by making requests as appropriate., • Comply with his/her discipline specific job description including but not limited to the physical strength requirements., • Assists the registered therapists in carrying out procedures and programs., • Performs routine treatment procedures in accordance with the planned program., • Reports any pertinent findings to the registered therapist., • Develop professional working relationships with staff, customer, facility team members, residents, and resident family members., • Communicate relevant facility, patient, and/or staff issues to Area Manager in a timely fashion., • Other duties as assigned. Skills, Knowledge and Expertise • Degree in an accredited Physical Therapy (PT), Occupational Therapy, or Speech Language Pathology Program. Certified assistants also qualify- Physical Therapy Assistant (PTA) or Certified Occupational Therapist Assistant (COTA)., • Current license/certification in the state of practice, • 2+ Years Experience in healthcare, long-term care setting preferred., • Knowledge of Medicare, insurance, and resident rights TMC is an equal opportunity employer. Benefits • New Grad Tuition Reimbursement Available!, • Flexible Scheduling., • CEU and State Licensure Reimbursements., • 13 Days of PTO and 6 Paid Holidays., • Plus one free Floating Holiday every year!, • Internal Growth and Leadership Opportunities., • Mental Wellbeing Support Program., • Health, Dental, and Vision., • Retirement benefits (including 401k company match).

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. At Machinify, we’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. The Sr. Healthcare Reclamation Analyst reviews and analyzes large volumes of client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets 277 rejections and explanations of benefits as well as payer feedback to recover funds for clients who have paid in error. Additionally, the senior role leverages subject matter expertise and experience to perform a variety of analysis and trending, as well as initiatives developing and continuous improvement of operational infrastructure and initiating new client programs. What You’ll Do: • Leverage knowledge and expertise in COB/TPL/Recovery to gather and review in-house data with payer correspondence to determine proper order of benefits and resolve primacy issues., • Successfully solve complex data or record discrepancies and/or issues., • Communicate effectively with carriers to determine primacy; answer questions and/or provide information that will bring to successful payment or other appropriate account action., • Contact Healthcare Insurance carriers regarding claim responses., • Analyze and understand written communication from insurance companies including explanation of benefits (EOBs)., • Actively collaborate with internal groups and/or functions with interpretation of the claims billing process and denial management for continuous improvement in workflow and systems., • Actively contributes to continuous improvement and development for new client programs of scripts, guidelines, and other tools provided to have professional conversations with Healthcare Insurance carriers and/or providers., • Effectively works assigned inventories to consistently exceed productivity metrics assigned by management, while also performing other duties of the senior analyst role that support the broader group., • Leverage knowledge and expertise to research various scenarios that will bring to successful resolution and payment (e.g., eligibility research and claims appeals) and consistently resolve the most complex eligibility discrepancies and questions., • Initiate applicable action and documentation based upon insurance carriers selected., • Update company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, as well as account status updates as applicable., • Supports management with inventory assessment and distribution to team members., • Provide ongoing feedback to Management and Analytics Teams to further the enhancement of our products and services, workflows, and documentation., • Assist Management on assigned projects (including ramping up new client programs), client requests, regular reporting, data analysis and reconciliations, testing, and analytics reviews as required by the business., • Leads and contributes to ad-hoc projects and initiatives and establishing best practices., • Consistently maintains regular good attendance, demonstrates professionalism, sound judgment, and good decision making., • Follows and complies with company, departmental and client program policies, processes, and procedures., • Responsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations., • Successfully completes, retains, applies, and adheres to content in required training as assigned., • Consistently achieves or exceeds established metrics and goals assigned, including but not limited to, production, quality, and completion of assigned projects with high quality and timely results., • Completes required processes to obtain client required clearances as well as company required background and/or drug screening; and successfully passes and/or obtains and maintains clearances statuses as a condition of employment. (note client/government clearance requirements are not determined or decisioned by Performant.), • Demonstrates Performant core values in performance of job duties and all interactions., • Corrects areas of deficiency and oversight received from quality reviews and/or management., • Performs other duties as assigned. What You Bring: Required and Preferred Qualifications • High School diploma or GED; college preferred: equivalent combination of education and related experience., • Minimum 4 years of directly related progressive experience (billing reclamation, recovery, denial management, etc.), including Coordination of Benefits, Third Party Liability, and/or Reclamation, demonstrating depth and breadth of knowledge and capability required for the position., • Minimum 1 year of experience in a function demonstrating the ability to lead or make strong contributions to initiatives involving operations workflow, data reporting and analysis, contributing to the set-up of new clients or programs, or subject matter expertise applied to department workflows or projects, direct or indirect staff oversight or training, etc., • Demonstrated experience gathering, researching, interpreting, and documenting data and requirements for projects and/or complex problem solving. What experience you bring (Role Requirements) • Strong knowledge and substantial experience with healthcare, medical terminology, and medical coding, preferably in a role generating, auditing, recovering and/or researching the same., • Demonstrated expertise and experience with Coordination of Benefits, Third Party Liability and Accounts Receivable specifically relevant to the line of business., • Proven strength gathering and interpreting 277 rejections or Explanation of Benefits to answer questions and resolve claim issues., • High degree of critical thinking and analytical accuracy required, • Ability to communicate professionally and effectively with carriers and other audiences regarding claims and Coordination of Benefits (COB)., • Strong investigative skills, with proven ability to gather and interpret 277 Rejections and Explanation of Benefits (EOB) and answer questions and resolve standard as well as complex issues with payments., • Protect patients’ privacy, understands and adheres to HIPAA standards and regulations., • Remarkable interpersonal and communication skills; ability to listen, be succinct and demonstrate positive customer service attitude; develops positive rapport with clients., • Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail., • Strong skills using standard office technology; computer, various applications and navigation of on-line tools and resources, keyboard, mouse, phone, headset., • Intermediate to advanced Microsoft Excel skills with demonstrated skills analyzing large data sets relevant to the position., • Applies knowledge learned in training from various forms (memos, classroom training, on-line training, meetings, discussions, individual coaching, etc.) and can provide instructional support to others., • Ability to follow policy, procedures, and regulations in the workplace, and demonstrates ability to lead by example and support development of junior team members., • Ability to effectively perform work independently and work cooperatively with others to promote a positive team environment; effectively serve as subject matter expert, lead by example, and a lead contributor to the team overall results and progress., • Ability to adapt quickly and transition effectively to changing circumstances, assignments, programs, processes; able to support team adaptation to change., • Ability to obtain and maintain client required clearances as well as pass company required background and/or drug screening. What We Offer: • Work from anywhere in the US! Machinify is digital-first. Top Medical/Dental/Vision offerings FSA/HSA Tuition reimbursement Competitive salary, 401(k) with company match Additional health and wellness benefits and perks • Flexible and trusting environment where you’ll feel empowered to do your best work The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. Pay range: $52,000 - $58,000 Equal Employment Opportunity at Machinify We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: _

MEDITECH experience required Multiple positions available – Speedy interview process! Support our healthcare partners & help them thrive at Meduit! Insurance Follow-Up Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today! • Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements, • Verify accuracy of billing data and revise any errors, • Import/post payments from all Government payors, • Timely resolution of all claims including appeals, • Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors, • Work with personal information and maintain patient confidentiality, • Reduce outstanding accounts receivable by managing claims inventory  , • Gather, verify, and input patient demographic, clinical, and financial information from various sources to ensure accurate registration, billing, and eligibility for services, • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.  , • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.  , • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients, • Integrity, • Communication, • Problem-solving, • Teamwork, • High School Diploma/GED, • Meditech expertise, • 4 years of Denials Management experience, • 4 years Medical Billing/Follow-up experience, • 3 years of Medicare, Medicaid, or other government payor experience, • Proficiency in medical coding (ICD-10, CPT, HCPCS), • Proficiency with billing software and electronic health record systems, • Pay: $20-22/hour, • Schedule: 8am-5pm Central, Mountain, or Pacific Time Zone, • Location: Remote, • Paid Training: 3 weeks, • Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: _), • Background check: As a condition of employment, a pre-employment background check will be conducted., • At this time, we are unable to consider candidates residing in the state of New York for this position What we offer: • Steady work schedule (remote), • Full comprehensive Paid Training Program (3+ weeks), • Medical, Dental, and Vision insurance, • HSA and FSA available, • 401(K)plans with company match, • PTO and Paid holidays, • Employer paid life insurance and long-term disability, • Internal company growth What we do: Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation’s leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at www.meduitrcm.com. Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class. #LI-Remote

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities • Manage full Revenue Cycle Management (RCM) processes, • Verify insurance eligibility and benefits for commercial and Medicaid MCO payers, • Follow up on Accounts Receivable exceeding 30 days, • Review AR aging reports and resolve outstanding balances, • Post payments and perform account reconciliations, • Obtain and manage insurance authorizations, • Review and correct claims to prevent denials, • Interpret payer contracts and reimbursement guidelines, • Maintain accurate billing documentation, • Communicate with payers, patients, and internal teams Required Qualifications • Minimum 2 years of medical billing with RCM responsibilities, • Experience with AR follow-up and medical collections, • Knowledge of medical office workflows, • Proficiency with EMR/EHR systems, • Understanding of medical terminology, • Knowledge of CPT, ICD-9, ICD-10 coding (DRG preferred), • Experience with payment posting and account reconciliation, • Ability to manage payer communications independently Preferred Qualifications • Bilingual (English/Spanish), • Medicaid MCO billing experience, • Multi-location healthcare billing experience Benefits • Medical, dental, and vision insurance, • Health Savings Account (HSA), • Company-paid life insurance and AD&D, • Short- and long-term disability options, • Paid Time Off (PTO), holidays, and sick leave, • 401(k) with employer match, • Employee Referral Bonus Program

Speedway Bldg 1 - Tucson, AZ 85712 Start Date 08/12/2026 Position Type Full Time Education Level 2 Year Degree Travel Percentage Negligible Category Insurance Summary Performs a variety of complex billing and accounting functions. Review and process rejected claims, verify and work adjudicated claims, resolve and resubmit claims compliant with reimbursement eligibility. Ensure payments and denials are made in accordance with payer contracts and company procedures. Review of invoice information, maintain third-party billing records, and resolve variety of claims and contract issues. Essential Duties and Responsibilities (Billing Processor I, II and CPC): • Verifies member coverage, benefits and services allowed for Medicare, Commercial and AHCCCS payors., • Confirms health insurance coverage for coordination of benefits to process claims, • Works with payors to request and resolve Prior Authorizations discrepancies., • Resolves rejected and denied billing errors., • Applies provider contract provisions to determine if claim is payable or denied., • Determines if denied claims related to rendering provider, service location, coordination of benefits, refunds or adjustments., • Reviews medical and behavioral claims, post payment or denial codes within established department guidelines and standards, • Maintain records, files, and documentation as appropriate, • Maintains billing, explanation of benefits, and Receipts filing system and records retention., • Runs denials and cash receipts reports., • Posts receipts and Explanation of Benefits (EOB) via manual posting., • Routinely monitors and ensures eligibility segments are documented correctly in NextGen., • Meet department production and quality standards, • Performs other related duties in accordance with agency growth and changes. Additional Essential Duties and Responsibilities for Billing Processor II • Reviews and processes inbound 835 electronic response files (ERAs) for the assigned Medicaid payer., • Reviews and resolves claim discrepancies and errors prior to posting the assigned Medicaid ERA., • Responsible to communicate and resolve any posting errors with NextGen directly., • Assigns denied and rejected billing claims to their Medicaid team members., • Prepares and reports payor payment trends for the assigned Medicaid payer., • Point of contact for communicating directly with the Medicaid provider representative., • Point person to communicate and resolve denials and rejections for the assigned Medicaid payer., • Reconciles Medicaid payer monthly payments to EFTs and communicates discrepancies to the supervisor., • Assists billing team members with denied and pended billing errors., • Assists with training specific to the assigned Medicaid payer. Additional Essential Duties and Responsibilities if Certified Professional Coder • Answer calls and emails related to coding., • Review denial notes to determine correctness in diagnosis, modifier & CPT code Assist providers in selecting correct CPT codes, • Assist Data Validation Audits Billing Processor I: • 3 years billing & claims processing experience Billing Processor II: • A minimum of 5 years billing & claims experience AND;, • A minimum of 1 year processing claims as assigned to the primary Medicaid ERA funder Certified Professional Coder • Active AAPC Certification Certifications: • Certified Coder, preferred Additional Requirements: • Valid Arizona Drivers license, proof of current insurance and willingness to use personal vehicle., • Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years. Skills: • Bilingual a plus., • Ability to interact effectively with other service providers., • Intermediate to advanced computer skills using MS Office products, Word, Excel, Access, etc., importing/exporting data to/from applications., • Ability to communicate effectively both orally and in writing

The Patient Access Representative II Insurance Verification is responsible for advanced insurance verification, authorization coordination, and financial clearance functions. This role supports complex cases and serves as a resource for junior staff, ensuring accurate and timely processing of patient access workflows. The Representative II demonstrates a high level of proficiency in payer requirements, EHR systems, and patient communication. • Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools., • Obtain and document prior authorizations, including peer-to-peer requests and escalations., • Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding., • Provide mentorship and training to Patient Access Representative I staff., • Assist in resolving escalated patient inquiries and insurance issues., • Ensure accurate and complete patient registration and financial documentation., • Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans., • Maintain compliance with HIPAA, organizational policies, and payer regulations., • Participate in quality improvement initiatives and workflow optimization projects., • Performs related duties as assigned. Education: High school diploma or GED required; vocational training in medical office administration preferred. Experience: Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access. Licensure or Certification: None required; CHAA or related certification preferred. Knowledge, Skills, and Abilities: • Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices., • Strong communication and customer service skills with the ability to de-escalate complex situations., • Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite., • Ability to multitask, prioritize, and manage time effectively in a fast-paced environment., • Attention to detail and accuracy in data entry and documentation., • Demonstrated leadership and mentoring capabilities.

Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and adjudicating medical and inpatient claims received from all provider types and lines of business. Review and resolve rejected and/or denied claims. Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and outgoing revenue sources and measure different financial cycles on behalf of Customers. Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Examiner Responsibilities: • Submit claims and encounters in a timely manner., • Review and resolve rejected, pended, and/or denied claims within expected timeframes., • Coordinate claim adjustments with the customer., • Identify revenue cycle issues and implement solutions to improve systems and processes., • Respond to calls on claims issues and provide information and resolution in a timely manner., • Provide education and technical support to Claims Examiners and customers regarding claims related issues through on-line training and in person training., • Produce scheduled reports for in-house and customers., • Prepare written inter-departmental and external correspondence., • Develop and publish formal written guidance for customers to process claims., • Analyze encounter-processing data using statistical methodologies., • Update and maintain electronic billing manual and distribute updates as directed., • Compare business operations and coordinate technical analysis support for upcoming collection of accounts. Medical Claims Examiner Qualifications: • High School diploma or GED plus 5 years of full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment., • Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations., • Knowledge of Microsoft Excel and 10-key by touch is also required., • Knowledge of and experience working with Electronic Health Records system(s)., • Ability to translate customer needs to technical and/or business process solutions., • Ability to effectively work with internal teams across numerous functions and levels., • Ability to quickly learn complex business processes and understand the underlying transactional systems., • Strong customer service skills and abilities., • Exceptional communication skills, including strong customer-facing presentation and facilitation skills., • Ability to work on multiple projects., • Strong attention to detail and follow-through skills., • Experience working in a team-oriented, collaborative environment., • Strong analytical and problem-solving abilities. Benefits include medical insurance, retirement plan, PTO, etc. Salary: 80K+ DOE. Keywords: Tucson AZ Jobs, Medical Claims Examiner, ICD10, CPT, HCPCS, In-Patient Coding, In-Patient Billing, HIPAA Regulations, MS Excel 10-Key, Electronic Health Records, EHR, Claims Processing, Healthcare, Accounting, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting

The shift is 8:30a.m. 5:00 p.m. Mon-Friday The Patient Access Representative II Insurance Verification is responsible for advanced insurance verification, authorization coordination, and financial clearance functions. This role supports complex cases and serves as a resource for junior staff, ensuring accurate and timely processing of patient access workflows. The Representative II demonstrates a high level of proficiency in payer requirements, EHR systems, and patient communication. Essential Functions: • Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools., • Obtain and document prior authorizations, including peer-to-peer requests and escalations., • Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding., • Provide mentorship and training to Patient Access Representative I staff., • Assist in resolving escalated patient inquiries and insurance issues., • Ensure accurate and complete patient registration and financial documentation., • Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans., • Maintain compliance with HIPAA, organizational policies, and payer regulations., • Participate in quality improvement initiatives and workflow optimization projects., • Performs related duties as assigned. Minimum Qualifications: Education: High school diploma or GED required; vocational training in medical office administration preferred. Experience: Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access. Licensure or Certification: None required; CHAA or related certification preferred. Knowledge, Skills, and Abilities: • Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices., • Strong communication and customer service skills with the ability to de-escalate complex situations., • Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite., • Ability to multitask, prioritize, and manage time effectively in a fast-paced environment., • Attention to detail and accuracy in data entry and documentation., • Demonstrated leadership and mentoring capabilities.

The Patient Access Representative II Insurance Verification is responsible for advanced insurance verification, authorization coordination, and financial clearance functions. This role supports complex cases and serves as a resource for junior staff, ensuring accurate and timely processing of patient access workflows. The Representative II demonstrates a high level of proficiency in payer requirements, EHR systems, and patient communication. Essential Functions: • Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools., • Obtain and document prior authorizations, including peer-to-peer requests and escalations., • Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding., • Provide mentorship and training to Patient Access Representative I staff., • Assist in resolving escalated patient inquiries and insurance issues., • Ensure accurate and complete patient registration and financial documentation., • Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans., • Maintain compliance with HIPAA, organizational policies, and payer regulations., • Participate in quality improvement initiatives and workflow optimization projects., • Performs related duties as assigned. Minimum Qualifications: Education: High school diploma or GED required; vocational training in medical office administration preferred. Experience: Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access. Licensure or Certification: None required; CHAA or related certification preferred. Knowledge, Skills, and Abilities: • Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices., • Strong communication and customer service skills with the ability to de-escalate complex situations., • Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite., • Ability to multitask, prioritize, and manage time effectively in a fast-paced environment., • Attention to detail and accuracy in data entry and documentation., • Demonstrated leadership and mentoring capabilities.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Practice Leader is responsible for oversight of clinic location with accountability for all clinic operations including cost, quality, and patient satisfaction results. Reporting to the Manager of Operations for Central & West region, this leader will manage to clinic budgets for finance, staffing, quality performance, facilities, and physician relations and is critical to driving the clinical quality and patient service experience across clinics. This leader drives the performance of clinic teams providing growth, development, and ongoing management of practice operations staff. Excellent communication, problem-solving, follow-through and diplomacy skills are required for success in this highly visible leadership role. Primary Responsibilities: • Manage overall performance of assigned Clinic location across assigned market including cost, quality, and patient satisfaction, • Partner with integration teams to ensure successful practice onboarding and integration, and appropriate resource allocation, • Support provider recruitment efforts in the market and play a key role in the successful onboarding and integration of new practices and providers, • Provide leadership and coaching to Clinic teammates ensuring regular communication across the team and development to prepare for continued growth, • Handle all aspects of staffing and team management, fostering a high-performance work environment that values employees and promotes development and success, • Ensure appropriate strategies are implemented to achieve clinical quality and patient services experience measures, • Collaborate in developing annual budgets and review and analyze monthly financial performance to L and KPI performance metrics, • Follow through on key goals and performance measures that advance organizational strategy and business plan, • Develop productivity and other performance projections for both budget and look-forward projections, • Liaise between operations and physician leadership to ensure providers' needs are being successfully addressed to reinforce a culture of transparency and support, • Identify opportunities for improvement and drive change initiatives to completion to improve overall operations and financial outcomes, • Support development of market provider workforce plan, including provider moves, impact on panels, co-located clinics, etc., • Achieve annual budget, • P&L analysis Skills/Abilities: • High emotional intelligence, the ability to forge meaningful relationships, and success navigating diverse stakeholder groups, • A keen sense of personal accountability for delivering individual and team results, • Experience performing under pressure with a sense of urgency, attention to detail, and a commitment to doing what you say you will do, • A passion for being hands-on in problem-solving and execution, • A low ego and humility; an ability to gain trust through effective communication and doing what you say you will do, • History and success leading and managing teams to deliver P+L results, • Demonstrated experience driving results in a high-growth enterprise, examples:, • Excellent verbal and written communication skills, • Excellent interpersonal and customer service skills, • Excellent sales and customer service skills You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Highschool Diploma or equivalent, • 3+ years of management experience in a medical clinic, primary care or specialty care, • Experience and knowledge of professional billing and healthcare components including, but not limited to, access, coding, billing, collections, practice management systems, payer relations, appeals, and authorization process, • Direct leadership of multiple team members including performance evaluations, coaching conversations, and corrective action conversations, • Understanding of value-based care and the role that operational leaders and teams play in supporting population healthcare, • Driver's License and access to reliable transportation Preferred Qualifications: • Managed Care experience, • Related experience in technical or specialty areas, • Proven ability to communicate effectively; ability to analyze and interpret data; ability to plan, develop and coordinate multiple projects Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Description Revenue Cycle Specialist - Accounts Receivable Arizona Eye Consultants – Tucson, AZ Full-time | $18.00 – $25.00 per hour Join Southern Arizona’s Leading Eye Care Team Arizona Eye Consultants is a growing, multi-specialty Ophthalmology and Optometry practice with five busy offices across Tucson. We are dedicated to delivering the highest quality of eye care and improving the lives of our patients. We are seeking a Medical Billing/Accounts Receivable (AR) Specialist to support our revenue cycle operations and ensure timely reimbursement. This role is an essential part of our team and offers the opportunity to grow within a supportive, patient-focused organization. Position Summary The Medical Billing/AR Specialist is responsible for managing insurance accounts receivable, denial management, payment posting, and billing inquiries. This position requires attention to detail, strong organizational skills, and the ability to thrive in a fast-paced medical office environment. Key Responsibilities • Review submitted claims and address rejections., • Work insurance collections, aged accounts, and AR reports for maximum reimbursement, • Maintain accurate records of claim statuses, denials, and appeals, • Post insurance payments (mail and ERA) and document denials, • Respond to patient and staff billing inquiries in a professional and timely manner, • Stay current with insurance plan updates and billing regulations, • Answer and route calls via a multi-line phone system, • Assist teammates and support departmental goals as needed, • Participate in training, webinars, and seminars to stay up to date in the field Qualifications Required • High School Diploma or equivalent Preferred • 2+ years of medical billing experience, • 1+ year of Ophthalmology/Optometry billing experience, • Knowledge of CPT, ICD-10 coding, and insurance billing guidelines, • Familiarity with ocular/medical terminology, • Strong communication, customer service, and computer skills, • Ability to work Monday–Friday, 8:00 am – 5:00 pm, • Willingness to occasionally travel for training or company needs Ideal Candidate Traits • Dependable – Consistent and reliable in performance, • Adaptable – Thrives in changing situations and priorities, • Detail-Oriented – Meticulous with data, documentation, and follow-up, • Achievement-Oriented – Motivated by challenges and growth Compensation & Benefits • Pay: $18.00 – $25.00 per hour (depending on experience), • Benefits:, • 401(k) with employer match, • Health, dental, and vision insurance, • Paid time off (PTO) and holiday pay Schedule • Full-time, Monday – Friday, 8:00 am – 5:00 pm, • Primarily onsite at one location, • Travel might be required Apply today and become part of Southern Arizona’s most trusted eye care practice!

Job Description Responsibilities • Review provider medical coding of services rendered for medical claim submission, • Review and respond to medical coding inquiries submitted by providers and staff, • Work directly with providers to resolve specific medical coding issues, • Analyze data for errors and report data problems, • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input, • Work with clinical and non-clinical groups to identify undesirable coding trends, • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee, • Abide by HIPAA and Coding Compliance standards, • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment, • Accomplish other tasks as assigned Qualifications • 2+ years coding, • 2+ years medical billing experience (preferred but not required), • Experience with insurance and revenue cycle management processes, • Ability to read and understand insurance EOB’s, • Proficient in reviewing edits between CPT, ICD10, and HCPCS codes, • Experience in reviewing insurance review denials and payer policies, • Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA, • Leadership qualities with the ability to effectively educate providers remotely, • Acute attention to detail with a strong, self-sufficient work ethic, • Excellent organization and use of time management skills, • Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise, • Proficient with computers and navigating within multiple applications, • Proficient in MS Office (specifically Teams, Outlook, Excel, and Word), • Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers, • Goal-oriented and a consistent performer, • Must be self-motivated, punctual, dependable, and able to work independently, • Must be trustworthy, honest and have a positive and professional attitude Experience with wound care (preferred but not required) Experience with insurance and revenue cycle management processes Benefits & Schedule • Compensation: $21.00 - $23.00 hourly, • Classification: Hourly, Non - Exempt, • Schedule: Part-time, 20–25 hours per week (onsite) Location & Work Setting • Onsite in Tucson, Arizona, • This role requires physical presence and active collaboration with providers, billing, and clinical staff., • Not remote. Local applicants only.

Job Description Job Title: Medical Biller (Full-Time) Location: Tucson, Arizona Employment Type: Full-Time Position Summary: We are seeking an experienced Medical Biller to join our team in Tucson, Arizona. This role is responsible for managing the full-cycle billing process, with a strong emphasis on Ambulatory Surgery Center (ASC) billing. The ideal candidate will have a thorough understanding of payer requirements, claims submission, and reimbursement processes specific to surgical services. Key Responsibilities: • Prepare, review, and submit accurate claims for services performed in an Ambulatory Surgery Center (ASC), • Verify patient insurance coverage, benefits, and eligibility, • Ensure proper coding is applied in collaboration with coding staff (ICD-10, CPT, HCPCS), • Follow up on unpaid or denied claims and resolve billing issues in a timely manner, • Post payments, adjustments, and reconcile accounts receivable, • Communicate with insurance companies regarding claim status, appeals, and discrepancies, • Maintain compliance with federal, state, and payer-specific billing regulations, • Work closely with clinical, coding, and front-office staff to ensure accurate documentation and billing workflows Qualifications: • High school diploma or equivalent required; associate degree in healthcare administration or related field preferred, • Minimum of 2+ years of medical billing experience required, • Required: Proven experience billing for an Ambulatory Surgery Center (ASC), • Strong knowledge of insurance guidelines, including Medicare, Medicaid, and commercial payers, • Familiarity with surgical billing, modifiers, and bundling rules, • Experience with electronic billing systems and practice management software, • Excellent attention to detail, organizational, and analytical skills, • Strong communication and problem-solving abilities Work Environment & Schedule: • Full-time position (40 hours per week), • On-site or hybrid work options may be available based on organizational needs, • Monday through Friday, standard business hours Benefits (may vary by employer): • Competitive compensation, • Health, dental, and vision insurance, • Paid time off and holidays, • Retirement savings plan, • Opportunities for professional development

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Texas Connections Academy (TCA) is a Texas Online School that offers 100% virtual instruction to public school students across Texas in grades 3-12 who are not physically present on campus during instruction.The TxVSN OLS program is authorized by Texas Education Code (TEC) Chapter 30A and administer

We are seeking a reliable, organized, and detail-oriented Remote Administrative Assistant to join our team.This position is open to applicants based in the United States and offers flexible working hours with both full-time and part-time opportunities available.The ideal candidate will be self-motiv

You will speak directly with patients, collect and organize medical histories, and help ensure medical records are accurate and complete. Review medical records for completeness, clarity, and internal consistency. Organize and standardize medical information to meet quality and documentation standar

Company-Paid Medical/Dental/Vision Insurance.

The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers. One Medical providers also demonstrate:. One Medical is a primary ca

We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical

Specialized Experience: One year of specialized experience in an advanced or complex clinical setting utilizing numerous advanced patient care systems, scheduling appointments across multiple clinics, and coordination of services among a diverse team of medical providers and clinics to include outsi

We are seeking qualified Certified Medical Assistants (or LPNs/LVNs) to join our growing virtual care team at 1bios as Care Professionals. Certified Medical Assistant / LPN / LVN credentials required.

Reporting to the Medical Director of Clinical Operations, the Certified Medical Assistant will be a key team member of the collaborative care team. Medical Assistant preferably in primary care. Experience with electronic medical records systems.

Certified Medical Assistant through the National Medical Assistant Certification exam (i. Knowledge of medical terminology and medication procedures. Basic knowledge of CPT & ICD-10 coding procedures.

The Medical Assistant supports patient care by performing clinical and administrative tasks under the supervision of a medical provider. Basic proficiency in computer applications such as Microsoft Office and medical record systems. Understanding of medical terminology and infection control practice

Secures patient information and maintains patient confidence by completing and safeguarding electronic and paper medical records; completing diagnostic coding and procedure coding; keeping patient information confidential. The Certified Medical Assistant primarily provides clinical and administrativ

Registered Medical Assistant (RMA)-American Medical Technologists required. Prepares exam rooms and assists with rooming patients, including taking vital signs, obtaining medical histories, and reason for visit, documenting those in the electronic medical record (EMR). Certified Medical Assistant (C

Active Medical Assistant certification such as: Registered Medical Assistant (RMA) with proof of current membership from American Medical Technologists (AMT) or Certified Medical Assistant (CMA) with proof of current membership from American Association of Medical Assistants (AAMA) or Certified Clin

Prepares exam rooms and assists with rooming patients, including taking vital signs, obtaining medical histories, and reason for visit, documenting those in the electronic medical record (EMR). Registered Medical Assistant (RMA)-American Medical Technologists required. Basic understanding of clinica