Claims Audit And Appeal Analyst
CurrentResponsible for auditing processed medical claims and reviewing high dollar claims prior to payment. Work with claims management to identify error trends and suggest areas for improvement.
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@centene.com
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2 phones found area 480
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LinkedIn matched
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Jim Allison Mba, Cpc-A is listed as Claims Audit and Appeal Analyst at P3 Health Partners, a company with 118 employees, based in Phoenix, Arizona, United States. AeroLeads shows a work email signal at centene.com, phone signal with area code 480, and a matched LinkedIn profile for Jim Allison Mba, Cpc-A.
Jim Allison Mba, Cpc-A previously worked as Professional Claims Exaaminer at P3 Health Partners and Claims Specialist at Centene Corporation. Jim Allison Mba, Cpc-A holds Master Of Business Administration (Mba), Business Administration And Management, General from The College Of William And Mary.
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AeroLeads found 1 current-domain work email signal for Jim Allison Mba, Cpc-A. Compare company email patterns before reaching out.
Accomplished, analytical and loyal Health Insurance Administration professional with 19+ years of experience. Strong leadership skills with the ability to drive performance improvement through ongoing support, coaching and guidance. MBA and multiple certifications.🔹 Committed to enhancing compliance and quality measures by identifying issues/inaccuracies and deploying effective resolutions. 🔹 Collaborative cross-functional team player who effectively manages resources to implement new processes, improve quality accuracy and ensure compliance from all providers. Skilled presenter.
Listed skills include Insurance, Auditing, Medicare, Claims, and 12 others.
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A career timeline built from the work history available for this profile.
Chandler, Arizona, United States
Responsible for auditing processed medical claims and reviewing high dollar claims prior to payment. Work with claims management to identify error trends and suggest areas for improvement.
Chandler, Arizona, United States
Responsible for review, correction and final adjudication of health insurance claims submitted for professional services.
Phoenix, Arizona Area
Responsible for processing medical claims according to contract specifications and assisted with new hire audits and special projects as needed.
Phoenix, AZ
Coordinated and executed medical claim audits for various AHCCCS (Medicaid) plans to ensure quality control and regulatory compliance. Developed strong cross-functional partnerships with all departments to make sure all auditing activities were completed according to established guidelines. 🔹 Identified and invoiced over $2.0 million of overpaid medical.
Phoenix, Arizona Area
Ensured accurate auditing procedures by maintaining full knowledge of Medicaid guidelines for all states. Managed auditing procedures for 15 states, working closely with providers to obtain required data. Provided training for analysts and supervisors on audit systems and procedures. 🔹 Ensured all provider contracts were set-up correctly and in compliance.
Phoenix, Arizona Area
Functioned in a dual role with direct accountability for auditing processed claims and provider systems to ensure accuracy of benefits, policies and contracts. Partnered with leadership to streamline operations and implement process improvements that enhance accuracy and attain quality measures. In-depth experience with QNXT operating system.🔹 Exceeded.
Other employees you can reach at p3healthgroup.com. View company contacts for 118 employees →
Michael Forero
Colleague at P3 Health PartnersLas Vegas, Nevada, United States, United States
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Андрій Савчак
Colleague at P3 Health PartnersChernivtsi, Chernivtsi, Ukraine, Ukraine
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Ethan Braught, Mha
Colleague at P3 Health PartnersAshland, Oregon, United States, United States
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Maguid Ghattas
Colleague at P3 Health PartnersNorth Las Vegas, Nevada, United States, United States
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Mariah Willette
Colleague at P3 Health PartnersSalem, Oregon, United States, United States
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Martha Lopez
Colleague at P3 Health PartnersUnited States, United States
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Heidi Baker
Colleague at P3 Health PartnersLas Vegas, Nevada, United States, United States
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Tanya Porter
Colleague at P3 Health PartnersSt Petersburg, Florida, United States, United States
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Maylene Torres
Colleague at P3 Health PartnersHenderson, Nevada, United States, United States
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Roger Figueroa
Colleague at P3 Health PartnersCrown Point, Indiana, United States, United States
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Quick answers generated from the profile data available on this page.
Jim Allison Mba, Cpc-A works for P3 Health Partners.
Jim Allison Mba, Cpc-A is listed as Claims Audit and Appeal Analyst at P3 Health Partners.
AeroLeads has found 1 work email signal at @centene.com for Jim Allison Mba, Cpc-A at P3 Health Partners.
AeroLeads has found 2 phone signal(s) with area code 480 for Jim Allison Mba, Cpc-A at P3 Health Partners.
Jim Allison Mba, Cpc-A is based in Phoenix, Arizona, United States while working with P3 Health Partners.
Jim Allison Mba, Cpc-A has worked for P3 Health Partners, Centene Corporation, Steward Health Choice Of Arizona, and Aetna.
Jim Allison Mba, Cpc-A's colleagues at P3 Health Partners include Michael Forero, Андрій Савчак, Ethan Braught, Mha, Maguid Ghattas, and Mariah Willette.
You can use AeroLeads to view verified contact signals for Jim Allison Mba, Cpc-A at P3 Health Partners, including work email, phone, and LinkedIn data when available.
Jim Allison Mba, Cpc-A holds Master Of Business Administration (Mba), Business Administration And Management, General from The College Of William And Mary.
Jim Allison Mba, Cpc-A is listed with skills including Insurance, Auditing, Medicare, Claims, Process Improvement, Public Speaking, Analysis, and Quality Auditing.
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