Iasis Healthcare | Phoenix, AZ | Posted: 8/1/2014
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This position conducts weekly adjudicated claims audit for all forms and claim types: UB04s, Dental, and HCFA 1500s. Reviews Provider Demographics Information and contracts. Maintains, tracks and trend audit findings and report results. Efficiently completes ad-hoc analysis of data. Identify and report issues trend to minimize future claims issues. Research new AHCCCs and CMS rules and guidelines, maintains updated references and provides feedback to Claims, Network and Information System Departments of findings to improve quality.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled


High School Diplome or GED

3+ years claims processing experience in HCFA 1500s and UB04s

5+ years managed care experience

Substantial knowledge of AHCCCs and CMS coverage guidelines and regulations, CPT/HCPC/ICD10 Coding.

Stronge knowledge of Medical Terminology

Detail oriented, computer skills required(proficient with MS Access, PowerPoint programs)

Ability to think analitically and logically resolve issues and interpret findings.

Effective interpersonal and communication skills.


Employment Type: Full-Time
Base Pay: N/A
Other Pay: N/A
Industry: Healthcare - Health Services
Education: Not Specified
Experience: At least 3 year(s)
Manages Others: Not Specified
Relocation: Not Specified
Required Travel: Not Specified
Job ID: 1402640

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IASIS Healthcare

We are highly motivated and compassionate people, using advanced systems and technology to become the healthcare provider of choice and to improve the quality of life for the individuals and communities we serve.

At the core of IASIS Healthcare is a commitment to caring. It is part of everything we do and every patient we touch. We continually strive to find ways to give back to our employee teams, the local communities we call home and those who experience need around the world.


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