- Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
- Document clinical review findings actions outcomes in accordance with policies regulatory accreditation requirementsEngage requesting providers peer-to-peer discussionsBe knowledgeable interpreting existing benefit language policies process of clinical coverage reviewsParticipate daily clinical rounds requestedCommunicate collaborate network non-network providers pursuit accurate timely benefit determinations plan participants educating providers benefit plans medical policyCommunicate collaborate internal partnersCall coverage rotation
You'll be rewarded recognized performance environment challenge you clear direction succeed role provide development roles interested
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Locum Physician
1 day ago
LocumJobsOnline PhoenixWe are seeking a board-certified Pediatric Surgeon for a 200-day locum tenens assignment in Arizona. The assignment involves providing patient care exclusively in a hospital setting with shifts and patient contact hours yet to be determined. · Perform pediatric and neonatal surge ...
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Periodontist
8 hours ago
Only for registered members PhoenixWe are committed to offering exceptional care in a professional and patient-focused environment. Our team is passionate about improving oral health through expert treatment and compassionate service.This is a full-time hybrid role for a Periodontist, requiring a combination of in ...
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Data Entry Support Specialist
1 week ago
Only for registered members Phoenix Full time $29 - $35 (USD)The Data Entry Support Specialist will assist with data entry, troubleshooting documentation discrepancies and managing digital files. This remote role requires strong technical aptitude and the ability to multitask. · ...
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Assistant Manager
1 week ago
Only for registered members Phoenix, AZWe are looking for a dynamic individual to assist our Surgery Manager in managing one mobile surgery team and its 6 rotating locations across the Phoenix metro area. · Assist our Surgery Manger in all day to day operations of surgery days. · Helping to prepare patient charts for ...
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Locum Physician
21 hours ago
LocumJobsOnline PhoenixWe are seeking a board-certified General Surgeon for a 60-day locum tenens assignment in Arizona starting May 4, 2026. This role features a Monday through Friday schedule with 8-hour days, · Responsibilities and DutiesProvide general surgery care in both clinic and scheduled oper ...
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Locum Physician
5 days ago
LocumJobsOnline PhoenixA locum tenens orthopedic surgery physician opportunity is now available at an acute care hospital and clinic in Cottonwood Arizona. The physician will provide call only coverage for orthopedic services including general orthopedics pediatric cases management of pelvic and acetab ...
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Locum Physician
1 month ago
Only for registered members Phoenix, AZ+Job summary · We are seeking a board-certified General Surgeon for a 60-day locum tenens assignment in Arizona starting May 4, 2026. · +Responsibilities And DutiesProvide general surgery care in both clinic and scheduled operating room settings · Participate in the call rotation ...
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Outpatient Operating Room Nurse Manager
3 weeks ago
Only for registered members PhoenixAn established ambulatory surgery center in Phoenix seeks an experienced Operating Room Manager to lead a surgical services team. · Directing daily OR operations and staffing plans · Leading and developing a high-performing OR team · ...
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Profee Complex Coder Surgery GI
2 weeks ago
Only for registered members Phoenix $25.54 - $38.30 (USD)This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines. · Analyzes medical information from m ...
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Payment Poster
2 weeks ago
Only for registered members PhoenixResponsible for posting insurance and patient payments in PAS. Adjusting account write offs as necessary per the explanation of benefits. · ...
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Payment Poster/Accounts Payable
1 week ago
Only for registered members PhoenixThis job involves responsible for posting insurance and patient payments in PAS. Adjusting account write offs as necessary per the explanation of benefits. Forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed. · ...
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Profee Complex Coder Orthopedic
2 weeks ago
Only for registered members Phoenix $25.54 - $38.30 (USD)Looking for a motivated experienced Orthopedic Physician Complex Coder to join our talented Profee team. · This position evaluates medical records provides clinical and surgical abstraction in accordance with nationally recognized coding guidelines Utilize coding knowledge expert ...
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Profee Complex Coder Orthopedic
2 weeks ago
Only for registered members Phoenix Full time $25.54 - $38.30 (USD)This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines. · Minimum 3 years recent experience i ...
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Clerk - Medical Staff Operations
1 month ago
Only for registered members Phoenix Full timeWe are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. · As a clerk in the medical staff operations department, you will provide support for administrative duties and assist with credentialing functions. · ...
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Clinical Review Medical Director
2 weeks ago
Only for registered members Phoenix $238,000 - $357,500 (USD)The Medical Director provides physician support to Enterprise Clinical Services operations.Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. · ...
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Certified Coder
1 week ago
Only for registered members PhoenixWe are focused on building the nation's largest and most comprehensive eye care practices. · ...
- Only for registered members Phoenix $20.01 - $30.01 (USD)
This position performs insurance verification and authorization functions that support Patient Access Services and ensures compliance with both department standards and billing requirements. · High school diploma/GED is required. · A minimum of three years of experience in health ...
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Profee Coder General Pediatric
1 week ago
Only for registered members Phoenix $23.16 - $34.74 (USD)We are looking for a motivated, experienced Physician Coder with Pediatric coding experience to join our talented team.In this role, you will cover our Pediatric providers within Banner and will be working with providers within General Medicine, Neonatology, Hospitalist. · ...
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Operations Administrator
13 hours ago
Only for registered members Phoenix Full timeThe Operations Administrator serves as support to senior and executive operations leadership, providing high-level administrative and operational support in a fast-paced healthcare environment. · ...
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Profee Coder General Pediatric
2 weeks ago
Only for registered members Phoenix Full time $23.16 - $34.74 (USD)We are looking for a motivated, experienced Physician Coder with Pediatric coding experience to join our talented team. · Coding Ambulatory Day Revenue Cycle $34.74 / hour Banner Health Great Place To Work Certification bannerhealth.com · Evaluates medical records provides clinic ...
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Profee Complex Coder Surgical Cardiology
2 weeks ago
Only for registered members Phoenix $25.54 - $38.30 (USD)We are looking for a motivated, experienced Profee Coder | Physician Practice Complex Coder with 3+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join our talented team. This position evaluates medical records, provides clinical and surgical abstr ...
Clinical Review Medical Director - Vascular Surgery - Remote - 2323818 - Phoenix - UnitedHealth Group
Description
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews.
Primary Responsibilities
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Locum Physician
LocumJobsOnline- Phoenix
-
Periodontist
Only for registered members Phoenix
-
Data Entry Support Specialist
Full time Only for registered members Phoenix
-
Assistant Manager
Only for registered members Phoenix, AZ
-
Locum Physician
LocumJobsOnline- Phoenix
-
Locum Physician
LocumJobsOnline- Phoenix
-
Locum Physician
Only for registered members Phoenix, AZ
-
Outpatient Operating Room Nurse Manager
Only for registered members Phoenix
-
Profee Complex Coder Surgery GI
Only for registered members Phoenix
-
Payment Poster
Only for registered members Phoenix
-
Payment Poster/Accounts Payable
Only for registered members Phoenix
-
Profee Complex Coder Orthopedic
Only for registered members Phoenix
-
Profee Complex Coder Orthopedic
Full time Only for registered members Phoenix
-
Clerk - Medical Staff Operations
Full time Only for registered members Phoenix
-
Clinical Review Medical Director
Only for registered members Phoenix
-
Certified Coder
Only for registered members Phoenix
-
Patient Access Services Authorization Representative
Only for registered members Phoenix
-
Profee Coder General Pediatric
Only for registered members Phoenix
-
Operations Administrator
Full time Only for registered members Phoenix
-
Profee Coder General Pediatric
Full time Only for registered members Phoenix
-
Profee Complex Coder Surgical Cardiology
Only for registered members Phoenix