Careers

Not every job is created equal. At PHX, we provide an extraordinary career opportunity for motivated and creative individuals. We've built a reputation as an innovator and leader in claim settlement solutions, thanks in great part to the quality of our team. We continue to attract the industry's best and brightest: people who not only want a solid career, but a chance to make a real contribution as part of a dynamic and motivated team.

Our business is growing and we are always looking for talent. If you're interested in joining us, please submit your resume to:

Contact Name: Human Resources Department
E-mail: careers@phx-online.com
Phone Number: (888) 311-3505
Fax Number: (908) 658-3525

Medical Claims/Appeals Examiner
The Medical Claims/Appeals Examiner will be responsible for reviewing/processing/responding to all incoming appeals. The major responsibilities include: Responsible for the intake of appeals, researching the following manuals (including but not limited to AMA, Medicare and PHX Clinical manual) once an appeal is received by PHX, creating and customizing appeal letter in a professional manner. The candidate will have 2 – 5 years healthcare and medical claims processing experience from provider’s office or payor, excellent communication skills, outstanding written communication skills, excellent research and organizational skills, ability to multi-task and detailed-oriented, knowledge of Microsoft Word & Excel a must.

Health Care Fraud Analyst
We are searching for a HealthCare Fraud Analyst with strong medical knowledge and insurance claims experience to join our Bedminster, NJ Anti-Fraud Services team. As a PHX Health Care Fraud Analyst, your responsibilities will include investigation, review, analysis and interpretation of health care claims and medical record documentation to identify potential health care claim fraud and abuse. The candidate must possess a current unrestricted state RN license, in-depth knowledge of the CPT coding system and familiarity with the ICD-9-CM and HCPCS Level II coding systems. A Certified Professional Coder designation is preferred. Experience conducting clinical reviews including the review and assessment of appropriate medical coding for physician services billed. In addition, medical record audits are ideal, as is a background working in a Health Care Fraud Investigation/ Special Investigations Unit.

Regional Sales Vice President/National Sales Managers
The successful candidate will have experience in the medical claims cost containment industry. The ideal person should be knowledgeable in Health Insurance Sales, Third Party Administration, Self Insured/Self Administration, PPO's, and cost containment in their background. College graduate preferred, and travel is required.