Jobs in the United States

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Added 1 min ago
Hair Salon Manager
Great Clips
Heber City, UT
A: Salon Managers receive leadership and technical training, along with ongoing support to help them confidently lead their teams. The LEADS development program for salon managers provides…
Added 1 min ago
Hair Salon Manager
Great Clips
St Marys, OH
A: Salon Managers receive leadership and technical training, along with ongoing support to help them confidently lead their teams. The LEADS development program for salon managers provides…
Added 1 min ago
Hair Salon Manager
Great Clips
Orem, UT
A: Salon Managers receive leadership and technical training, along with ongoing support to help them confidently lead their teams. The LEADS development program for salon managers provides…
Added 1 min ago
Hair Salon Manager
Great Clips
Salt Lake City, UT
A: Salon Managers receive leadership and technical training, along with ongoing support to help them confidently lead their teams. The LEADS development program for salon managers provides…
Added 1 min ago
Hair Salon Manager
Great Clips
Richfield, UT
A: Salon Managers receive leadership and technical training, along with ongoing support to help them confidently lead their teams. The LEADS development program for salon managers provides…
Added 2 mins ago
Outsourcing Coordinator
MIRATECH Corporation
Houston, TX
Degree in Supply Chain Management, Business, Engineering, Operations Management, or a related technical field preferred.
Added 2 mins ago
BIM/VDC Regional Manager South East Florida
B & I Contractors, Inc
Tamarac, FL
Must have hands on technical ability with BIM and CAD programs (ideally Revit and Bluebeam)
Added 2 mins ago
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Program Underwriter
RH Wine & Co LLC
St. Charles, IL
- $85,000 to $90,000 USD / year
Charles, IL office, with three days in office
Added 3 mins ago
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Best Sales Intern - Fire Systems
STR Johnson Controls Fire Protection LP
United States
- $20 to $23.5 USD / hour
…a dynamic and competitive global environment. By joining a program that is rooted in community, connection, and memorable experiences, you will have an opportunity to transform your future.…
Added 3 mins ago
Refueling Equipment Program Manager - 519072
Tennessee Valley Authority
SPRING CITY, TN
Ideal Candidate:possesses a bachelor's degree in Engineering, Business, Project Management, or a related technical discipline.
Added 3 mins ago
Pipe Superintendent - Kingston Job Details | Black & Veatch Family of Companies
Black & Veatch
Harriman, TN
…and Veatch. Provides craft supervisors with information and technical direction required to complete project safely, timely and in a quality manner. Ensures schedule and project…
Added 3 mins ago
Testing/Turnover Superintendent Job Details | Black & Veatch Family of Companies
Black & Veatch
Harriman, TN
…and Veatch. Provides craft supervisors with information and technical direction required to complete project safely, timely and in a quality manner. Ensures schedule and project…
Added 4 mins ago
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Optical Associate, Non-Certified – Sam’s Club
Walmart
KNOXVILLE, TN
- $22 to $30 USD / hour
…Participates in internal development opportunities to enhance technical and service capabilities. Where applicable by state regulations, registers with state board for apprenticeship or…
Added 4 mins ago
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Electrical Superintendent
Actalent
Memphis, TN
- $60 to $65 USD / hour
Capability to work either day or night shifts as required by project needs
Added 4 mins ago
Supply Chain Manager, Asset Availability
Amazon
Nashville, TN
Drive end-to-end program management for large-scale automation initiatives that eliminate redundant tasks and improve operational efficiency across D2E functions
Added 4 mins ago
Project Manager, Technology Deployment, Global Energy, sustainability, and Automation
Amazon
Nashville, TN
3+ years of program or project management experience
Added 4 mins ago
Senior Program Manager - Haul & FFO, Global Logistics - Exports
Amazon
Nashville, TN
Amazon is seeking qualified Program Manager candidates to join our Cross Border Exports Logistics team · If these characteristics describe you, then come join the Amazon.com Cross Border Exports team and help make the world smaller—one package at a time
Added 4 mins ago
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Project Manager (Solar)
Actalent
Nashville, TN
- $48.08 to $55.29 USD / hour
We are seeking a dedicated Project Manager to oversee and manage multiple projects from purchase order to commissioning. The ideal candidate will take ownership of all aspects of these…
Added 4 mins ago
Customer Experience Manager- EdTech
Accenture
Nashville, TN
(If Associate Degree, must have minimum 6 years work experience)
Added 4 mins ago
LS
Facility Manager
Lucky Strike Entertainment
Bakersfield, CA
- $27 to $30 USD / hour
As a Facility Manager at Lucky Strike Entertainment, you will own the day-to-day health, safety, and performance of the facility. You will lead the maintenance team, oversee preventative…
Added 4 mins ago
LS
Facility Manager
Lucky Strike Entertainment
Waco, TX
- $26 to $28 USD / hour
As a Facility Manager at Lucky Strike Entertainment, you will own the day-to-day health, safety, and performance of the facility. You will lead the maintenance team, oversee preventative…
Added 4 mins ago
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Strategic Planning and Organization Program Manager
Oracle
Nashville, TN
- $91,000 to $209,500 USD / year
Oracle Research Services is seeking a Strategic Planning and Organization Program Manager to support the Group Vice President. In this role, you will help translate leadership priorities…
Added 4 mins ago
AT
Technical Program Manager II
Akamai Technologies, Inc.
Nashville, TN
- $100,700 to $181,300 USD / year
As a Technical Program Manager II, you will have end-to-end accountability for the delivery of assigned projects and programs. You will lead complex, cross-functional initiatives from…
Added 4 mins ago
Staff Mechanical Buildings Engineer - HVAC / Plumbing (KC, TX, TN, FL, CA, WI) Job Details | Black & Veatch Family of Companies
Black & Veatch
Nashville, TN
Applies knowledge and ensures compliance with B&V quality program. Promotes a culture that is conducive to quality. Supports continuous improvement, change management and risk management…
Added 4 mins ago
Sr. Field Marketing Manager, North America
Teradata
Nashville, TN
Teradata is looking for a Sr. Field Marketing Manager to drive pipeline creation and acceleration for a defined set of industry verticals within North America. This role sits within the…

Ability360

HCS Billing Manager / EVV

Phoenix, AZ, United States

Apply on workforcenow.adp.com About employer

Applications open in a new tab.

Job details

Education: High school diploma
Experience: Minimum 3–5 years of healthcare billing experience, specifically focused on Arizona AHCCCS, ALTCS, or DDD programs.
Posting language: English

Original job description

Position Summary The HCS Billing Manager leads and oversees all billing, claims submission, collections, authorization matching, and revenue cycle management (RCM) operations for our Home and Community Based Services (HCBS) program. This role ensures complete regulatory compliance with the Arizona Health Care Cost Containment System (AHCCCS), Arizona Long Term Care System (ALTCS), Division of Developmental Disabilities (DDD), and contracted Managed Care Organizations (MCOs). The ideal candidate possesses deep expertise in Electronic Visit Verification (EVV) data aggregation, CMS-1500/837 billing, prior authorization reconciliation, and root-cause denial management to protect agency revenue and ensure audit readiness. Core Responsibilities

End-to-End Billing & Revenue Cycle Operations

Manage daily electronic claims processing for all lines of service including: Attendant Care, Respite, Habilitation, Homemaker, Personal Care, Companion Care, and Home Modifications.
Perform pre-billing audits to ensure 100% verification of service units, rendered dates, HCPCS codes, and modifiers prior to claim transmission.
Manage payer portal billing submissions across contracted AHCCCS MCOs (e.g., Mercy Care, Banner University Health Plans, United Healthcare Community Plan) and DDD/AHCCCS portals.
Reconcile weekly and monthly Remittance Advice (RA) statements, posting payments accurately to patient accounts.

EVV & Prior Authorization Compliance

Partner closely with Scheduling and EVV Teams to audit Electronic Visit Verification data (clock-in/clock-out, GPS/IVR, shift sign-offs) against billed visits to prevent non-compliance rejections.
Perform strict cross-verification between billed claims and active ALTCS/DDD Case Manager Prior Authorizations (PA).
Identify, resolve, and prevent authorization unit burn-rate overages and unauthorized service delivery.

Denial Management, Appeals & Accounts Receivable

Work closely with the EVV billing team to analyze claim denial trends, unbilled claim backlogs, and aging Accounts Receivable (A/R).
Lead clean claim initiatives to maintain a target first-pass claim yield above 95%.
Prepare, file, and track formal claim disputes, reconsiderations, and administrative appeals with MCOs and AHCCCS within state-mandated timelines.

Leadership, Analytics & Reporting

Supervise, mentor, and evaluate the performance of EVV/HCS billing and collections specialists.
Produce and present monthly executive billing analytics (Gross Billed Hours, Net Revenue, Paid vs. Denied Claims, Days in A/R, Unbilled Hours) directly to executive leadership.
Conduct ongoing training for billing, authorizations, intake, and scheduling personnel regarding billing code changes, EVV mandates, and authorization procedures.

Audit Readiness & Regulatory Compliance

Lead internal quarterly revenue audits and serve as primary liaison during external financial audits, state compliance reviews, and MCO payer audits.
Maintain thorough knowledge of the AHCCCS Fee-For-Service Provider Billing Manual, AMPM policies, and state Medicaid updates.
Ensure strict adherence to HIPAA compliance, patient privacy, and data security standards.

Qualifications and Experience Education: High School Diploma or GED required; Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, Business, or related field strongly preferred.

Experience:
Minimum 3–5 years of healthcare billing experience, specifically focused on Arizona AHCCCS, ALTCS, or DDD programs.
2+ years in a supervisory or management role overseeing home health or HCBS billing teams.
Technical Proficiency:
Hands-on experience with home care software platforms (e.g., HHAeXchange, WellSky, or Sandata).
Direct experience with EVV aggregators and state clearinghouses.
Advanced proficiency in Microsoft Excel (VLOOKUPs, Pivot Tables, reporting formulas) and general ledger software.

Knowledge & Skills

Deep understanding of CMS-1500, 837P/835, HCPCS/CPT codes, HCPCS modifiers, and payer-specific prior authorization rules.
Comprehensive understanding of AHCCCS MCO contracting, claim dispute resolution, and appeal timelines.
Strong analytical, problem-solving, and leadership skills.

Ability360’s Affirmative Action Policy Ability360 abides by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60- 741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, protected veteran status, disability, or national origin. Moreover, these regulations require that Ability360 take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability. Further, Ability360 will not discriminate against any employee or applicant on the basis of any protected status under federal and Arizona law, including Title VII of the Civil Rights Act of 1964, as amended, the Age Discrimination and Employment Act, State Executive Order No. 75-5, the Rehabilitation Act of 1973, as amended, and the Americans with Disabilities Act. When applying for a job and being considered for employment, applicants are given a form prescribed by the US Department of Labor Office for Contract Compliance Programs (OFCCP) asking him or her to voluntarily disclose whether he or she has a disability. Applicants may complete this form understanding that the information on it is kept separate from their application materials or any subsequent personnel file. The information is for statistical purposes only as required by Federal law. An applicant who completes the form is not guaranteed a job or any special preference for a job. Reasonable Accommodation Any employee, whether full or part-time, who requests a workplace modification or an alteration in policies, practices or procedures for purposes of providing an accommodation based on disability and performing the essential functions of the job is accommodated pursuant to Title I of the Americans with Disabilities Act. Ability360 is Fragrance Free! Please do not wear scented products at Ability360 while at work, meetings, and/or events.

Days and hours of work are Monday through Friday, 8:00 am to 5:00pm. Evening and weekend work may be required as job duties demand.

Location: 5025 E. Washington Street, Suite 200, Phoenix, AZ 85034

Apply on workforcenow.adp.com About employer

More about this job

Skills

RCM
Regulatory compliance
CMS
Claims processing
Personal care
HCPCS
Scheduling
Microsoft Teams
GPS
Accounts receivable
Leadership
Reporting
Microsoft Excel
General ledger
CPT
Problem solving

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Work requirements

Jobs in the United States