About Embry Health:

Seeking an opportunity to positively impact the lives of others while transforming the image that our nation’s healthcare system is restraining and burdensome? Look no further than eMBRY Health!


In early 2020, Raymond Embry witnessed the need for a more responsive and effective response to the COVID-19 pandemic. Thousands of Arizonans fell ill daily. Communities across the state desperately sought testing services. Embry, a lifelong healthcare industry entrepreneur, and advocate seized the moment and created eMBRY Health to fill the testing void.


Over the last two year, eMBRY Health has experienced rapid growth due to the pressing need for COVID-19 testing services as well as other testing services. As a result, over 3,000,000 patients have benefited from eMBRY Health’s critical testing services. eMBRY Health continues to expand its services in order to serve our community's needs.


eMBRY Health’s success is fostered by its diversity, team spirit, and a shared employee commitment to make healthcare “smarter” and “more accessible for all.” Now, more than ever, we need qualified, hard-working, and talented individuals with experience in fields such as Accounting, FNP, Revenue Cycle Management, Lab Supervisor and Project Managers to name a few, who also believe in this mission to join us.



Please take a moment to review our available job openings. Then, learn how you can join thousands of others and take part in “The eMBRY Health evolution.”


eMBRY Health is committed to equal employment opportunity and recruits and hires applicants without regard to race, color, religion, sex (including pregnancy), national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. eMBRY Health will provide a reasonable accommodation for those with a disability to complete any part of the application process. If you cannot access or use this online application process and need an alternative method for applying, don't hesitate to contact us.


Job Duties

  • Reviews clinical information for all appeals by using criteria that is nationally recognized, to determine the necessity of the services that are requested
  • Prepares reviews for cases that do not meet the required criteria
  • Work with the multidisciplinary team to evaluate and improve the denial management, documentation, and appeal process
  • Coordinate and deliver verbal and written information regarding patient and provider appeals, and ensure all letters are in line with all required standards
  • Responsible for logging, tracking, and responding to all member and/or provider appeals of adverse determinations related to medical necessity administrative determinations
  • Coordinates hearings with various internal departments and agencies

Qualifications

  • High school diploma or equivalent
  • Three years of claims processing experience or similar experience in health insurance and customers' service
  • Critical thinking skills
  • Understanding of medical terminology

Subsidiaries of Embry Health:

· Embry Health https://embryhealth.com/

· Embry Women's Health https://embrywomenshealth.com/

· Backstage Medical Systems https://backstagemed.com/

· Embry Aesthetics https://embryaesthetics.com/