Top 5356 network implementation program manager tucson, az Jobs in tucson, az

Insurance Eligibility and Prior Authorization Specialist
Beale Personnel, Inc. —Tucson, AZ
- $17 - $19 an hour
- Full-time
- Private practice
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
On-Site Property Manager - Mobile Home & RV Communities
Success DS Properties LLC —Tucson, AZ
- $24,000 - $33,000 a year
- Part-time
- Mid-level
- Driver's License
- In-person
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General Manager (Bilingual)
Community Choice Financial Family of Brands —Tucson, AZ
- $24 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
1d
Medical Biller
Beale Personnel, Inc. —Tucson, AZ
- $19 - $22 an hour
- Full-time
- Background check
- HIPAA
- Administrative experience
- Health insurance
- Dental insurance
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Caregiver/ Med Tech
AVISTA SENIOR LIVING MANAGEMENT LLC —Tucson, AZ
- Full-time
- CPR Certification
- BLS Certification
- 1 year
- Health insurance
- Dental insurance
Quick Apply
Surveillance Investigator
Frasco Inc —Tucson, AZ
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Cat Sitter
The Comforted Kitty —Tucson, AZ
- $100 - $1,000 a month
- 8 hour shift
- Cleaning
- Communication skills
- Entry level
Quick Apply
8d
Certified Occupational Therapist Assistant (COTA)- Full-time - Day Neuro
Banner Rehabilitation Hospital - Tucson —Tucson, AZ
- Full-time
- Hospital
- BLS Certification
- Mid-level
- Dental insurance
- Paid time off
Medical Director
Nova Via LLC —Tucson, AZ
- $130 - $170 an hour
- Part-time
- Hybrid work
- Acute care
- Background check
- Medicine
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RN - Operations Educator Supervisor
El Rio Community Health Center —Tucson, AZ
- $34.16 - $49.47 an hour
- Full-time
- Spanish
- Nursing
- Management
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Clinical Therapist - SUD Residential Treatment Center - LAC, LASAC, LIAC, LMSW - In-Person Tucson
Buena Vista Recovery Llc —Tucson, AZ
- $65,000 - $75,000 a year
- Full-time
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
11d
(BCBA) Board Certified Behavior Analyst 10K bonus
Clarvida —Tucson, AZ
- $43.76 an hour
- Full-time
- Management
- Up to 50% travel
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
8d
Physical Therapist - Outpatient
Bodycentral Physical Therapy —Tucson, AZ
- $84,000 - $100,000 a year
- Full-time
- Doctoral degree
- Physical & Rehabilitation Medicine
- Outpatient
- Continuing education credits
- Paid holidays
Quick Apply
1d
Home Health Physical Therapist
Tucson Medical Home Health —Tucson, AZ
- $80 - $90 an hour
- Weekends as needed
- CPR Certification
- Anatomy knowledge
- BLS Certification
- Flexible schedule
Quick Apply
Board Certified Behavior Analyst (BCBA)
Bista —Tucson, AZ
- From $80,000 a year
- Full-time
- Background check
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
4d
Registered Dental Hygienist
El Rio Community Health Center —Tucson, AZ
- $40.70 - $56.69 an hour
- Full-time
- Background check
- Spanish
- Dental office
- Health savings account
- Health insurance
Quick Apply
Board Certified Behavior Analyst (BCBA)
Axis for Autism —Tucson, AZ
- From $93,000 a year
- Full-time
- Classroom
- Working with individuals with developmental disabilities
- Doctoral degree
- Paid training
- Disability insurance
Quick Apply
HVAC Selling Technician – $80K–$150K+ + $5K Bonus (Uncapped)
A1 Air Conditioning & Heating llc —Tucson, AZ
- $20 - $35 an hour
- Full-time
- Background check
- Maintenance
- Mid-level
- Fuel card
- Health insurance
Quick Apply
Dentist
Mountainside Dental Care —Tucson, AZ
- $200,000 - $500,000 a year
- Email
- Background check
- Dental office
- Doctoral degree
- Continuing education credits
Quick Apply
Attorney
Rafi Law Group —Tucson, AZ
- $100,000 - $300,000 a year
- Full-time
- Writing skills
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply

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network implementation program manager tucson, az jobs near tucson, az

Insurance Eligibility and Prior Authorization Specialist

Beale Personnel, Inc. -
Tucson, AZ

Quick Apply

Job Details

Full-time
$17 - $19 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Revenue cycle management
Customer communication
Medicare
Managed care
High school diploma or GED
Medicaid health insurance
ICD-10
Medicare regulations
Clinical information systems
Organizational skills
Medicaid regulations
Medicaid
Associate's degree

Full Job Description

A comprehensive general Ophthalmology practice in Tucson, AZ is seeking an Insurance Eligibility Specialist.

The Insurance Eligibility and Prior Authorizations Specialist is responsible for verifying insurance coverage, determining patient eligibility for services, and ensuring that authorizations are in place before services are rendered. This role plays a key part in the revenue cycle by minimizing claim denials due to eligibility issues and ensuring accurate billing information.

Key Responsibilities:

· Runs Eligibility Worklist to determine which accounts need insurance coverage verified and eligibility for patients prior to scheduled appointments, admissions, or procedures.

· Requirement is to be 2 weeks out in schedule and 2 doctors’ will be assigned.

· Communicates with patients to inform and collect OOP-Deductibles-Copay- Co-Insurance amounts.

· Inform patient about OON benefits

· PCP Referrals – Identifies and Follows Up to make sure we have referral prior to appointment (enter ALERT) Referral Required. Update MDI side with notes and upload referral to Nextech under documents and MDI side. In General Notes under MDI make sure to enter Referral Obtained. Maintain Referral Log by Patient Name, Appointment date and time.

· Date requested referral

· Sent Communication to Dr if need be.

· Self-Pay Patients- Let them know approximately how much the OV will be (other cost will discuss with PA)

· Use the Price Cost Estimator if applicable

· Documents information in Nextech under notes

· Accurately enters and updates Insurance information into PM system.

· Verifies that the necessary authorizations or referrals was obtained.

· Document Check Eligibility (Initials) under Appointment history for fee ticket

· Goes into MDI and enters Eligibility Information

· Add-On’s will verify and update Eligibility

· Work closely with schedulers, authorization, billing staff, and clinical teams to ensure accurate and timely patient care and billing.

· If patient is in-house will speak with them regarding any insurance issues…

· Respond to internal and external inquiries related to insurance coverage and eligibility.

· Follow up with insurance companies to confirm continued coverage or resolve discrepancies.

· Stay up to date with payer requirements, plan changes, and industry regulations.

· Assist in resolving claim denials related to eligibility.

· Designated A&E Fax number

· Working Hours 8:00am-500pm 1 hour lunch

Required Qualifications:

· High school diploma or equivalent; associate degree in healthcare administration or related field preferred.

· 1–2 years of experience in healthcare insurance verification or billing.

· Familiarity with major insurance providers, government programs (Medicare/Medicaid), and managed care plans.

· Proficiency in EMR systems and insurance portals.

· Strong attention to detail and organizational skills.

· Excellent communication and customer service skills.

· Ability to work independently and as part of a team in a fast-paced environment.

Preferred Qualifications:

· Knowledge of CPT/ICD-10 coding and medical billing practices.

Pay: $17.00 - $19.00 per hour

Benefits:

401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Insurance eligibility coverage: 1 year (Required)
ICD 10 coding: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

network implementation program manager tucson, az jobs in tucson, az

Insurance Eligibility and Prior Authorization Specialist

On-Site Property Manager - Mobile Home & RV Communities

General Manager (Bilingual)

Medical Biller

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Cat Sitter

Certified Occupational Therapist Assistant (COTA)- Full-time - Day Neuro

Medical Director

RN - Operations Educator Supervisor

Clinical Therapist - SUD Residential Treatment Center - LAC, LASAC, LIAC, LMSW - In-Person Tucson

(BCBA) Board Certified Behavior Analyst 10K bonus

Physical Therapist - Outpatient

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Registered Dental Hygienist

Board Certified Behavior Analyst (BCBA)

HVAC Selling Technician – $80K–$150K+ + $5K Bonus (Uncapped)

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