Billing/coding/credentialing Specialist

1 month ago


Tucson, United States PEOPLES HEALTH CARE CONNECTION LLC Full time

The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding in order to monitor and manage accounts, claims, claims resolution, accounts receivable, and posting of AHCCCS claims. This position must follow-up on outstanding accounts by monitoring and executing various billing functions. Various Financial and Productivity reports will be submitted daily, weekly, to various departments.

**Duties**:

- Submit billing in a timely manner daily to AHCCCS through the portal.
- Create reports on billing levels on a weekly basis.
- Assists with physical site upkeep. (Cleaning, sanitizing, emptying trash, vacuuming etc.)
- Keep track and process accounts and incoming payments in compliance with financial policies and procedures. Send daily / weekly reports to CEO
- Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data.
- Verify discrepancies and resolve client’s billing issues and reconcile all payments received from insurance companies and with the services provided.
- Work in multiple software systems to accomplish AR results.
- Generate financial statements and reports detaining accounts receivable status.
- Serve as the liaison to therapist and AHCCCS Prior Authorization Department
- Tracking and organizing insurance information, following up on all claim denials.
- Effectively communicating billing, insurance, and coverage criteria updates with staff and management.
- Understanding of the insurance credentialing process.
- Keep up with compliance, coverage criteria, ICD-10 information and update all employees as needed.
- Assists with general office cleaning and maintaining the conference room area and other areas of the office.
- *Other duties as assigned.

**Requirements**:

- High School Diploma or GED
- 1 to 3 years’ experience in Medical Billing, Billing and Coding Certificate required in addition to experience billing AHCCCS AIHP, AZ Complete, UHC/Optum, Blue Cross Blue Shield and other insurances.
- Confidentiality of Protected Health Information.
- Proven ability to calculate post and manage accounting figures and financial records.
- Data entry skills and knowledgeable in arithmetic and statistics.
- Excellent verbal and written communication skills. Proficiency in English and Spanish preferred.
- Customer service orientation and negotiation skills.
- High degree of accuracy and attention to detail
- BS degree in Finance preferred. Some academic training in accounting required.

Must have a Valid Arizona Driver License, Current Level 1 AZDPS Finger Print Clearance Card, CPR and First Aid Certification

Recent Negative TB Test. This is an in-person position only, no remote options.



  • Tucson, United States PEOPLES HEALTH CARE CONNECTION LLC Full time

    Job DescriptionJob DescriptionThe Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding in order to monitor and manage accounts, claims, claims resolution, accounts receivable, and posting of AHCCCS claims. This position must follow-up on outstanding accounts by monitoring and executing various billing functions....


  • Tucson, United States Eastside Billing company Full time

    Immediate job openings for: A medical Coder, A medical Biller and a medical AR Specialist. Applicants should be familiar with ICD-10 codes, CPT codes and HCPCS coding books. Applicants who receive a call for interviews will be required to take a coding and 10-key typing test. Pay: $16.50 - $21.00 per hour Expected hours: 40 per week **Benefits**: -...


  • Tucson, United States Banner Health Full time

    **Primary City/State**: Tucson, Arizona **Department Name**: Admin-Anesthesia-Clinic **Work Shift**: Day **Job Category**: Clinical Support This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities. The incumbent...

  • Billing Specialist

    1 week ago


    Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Catholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want to make a difference, help...

  • Billing Specialist

    2 weeks ago


    Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Job DescriptionJob DescriptionCatholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want...


  • Tucson, United States Community Health System Full time

    Job Description This is a Remote, Full Time, Day Shift Medical Staff Credentialing Specialist supporting Northwest Medical Center. Performs diversified duties of considerable responsibility to support the Medical Staff and Hospital Departments. Position Qualifications/Minimum Requirements Education: Required: High School diploma/GED or equivalent years...


  • Tucson, United States Northwest Medical Center Full time

    This is a Remote, Full Time, Day Shift Medical Staff Credentialing Specialist supporting Northwest Medical Center.Performs diversified duties of considerable responsibility to support the Medical Staff and Hospital Departments.Position Qualifications/Minimum RequirementsEducation:Required: High School diploma/GED or equivalent years of...


  • Tucson, United States SOLON Corp Full time

    Job DescriptionJob DescriptionPOSITION SUMMARY: The Accounting Specialist manages all daily transactions and monthly reconciliation for AP invoicing, payments, and corporate credit cards, participates in month end closing activities including journal entries, manages our small vehicle fleet, travel accommodations, and other various duties, as...


  • Tucson, United States Tucson Medical Center Full time

    SUMMARY : Performs self-pay collections or third party billing/collections which includes a complex review of billing and collection activities. Resolves problems and demonstrates complete understanding of payer and/or patient requirements to ensure timely and accurate payment. Makes independent decisions based on the needs of the patients and/or payer...


  • Tucson, United States Tucson Electric Power Co Inc Full time

    Check us out. We believe that you will like it here. Be Part of Our Story. * Do you want to be part of a company culture founded on safety, teamwork, collaboration, and positive leadership? * Do you want the opportunity to grow yourself in your current job and beyond? * Do you want to live in the heart of the Sonoran Desert, with beautiful landscapes all...


  • Tucson, United States Arizona Foot Specialists LTD. Full time

    Arizona Foot Specialists, LTD. is seeking a bilingual Front Office Specialist with exceptional customer service skills and a professional demeanor. As a Front Office Specialist you will be responsible for several administrative and clerical tasks but the most important is patient interaction. Patient experience starts in the Front Office so it is important...


  • Tucson, United States Supplyone Master Full time

    **Overview**: The Accounts Receivable Specialist (AR Specialist) is directly responsible for the overall operation, coordination, and continuous improvement of the Accounts Receivable and Collections Functions. Reporting to the Controller, the AR Specialist plays a crucial and sensitive role in the function of SupplyOne. The AR Specialist must have, and...


  • Tucson, United States El Rio Community Health Center Full time

    Schedule: Monday through Friday 8:00 a.m. to 5:00 p.m. Pay Range: $16.50 - $22.10 Depending on Qualifications **JOB PURPOSE**:The Revenue Cycle Specialist as part of a team is responsible for performing at a specialist level administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. The...

  • Medical Coder

    2 weeks ago


    Tucson, United States Next Step Systems Full time

    Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations.- Comply with medical coding guidelines and policies.- Receive and review patients charts and...


  • Tucson, United States NSC Technologies Full time

    Staff Matters, LLC a subsidiary of NSC Technologies has an immediate opening for an Accounts Payable Specialist Salary: $18 Responsibilities Review and code invoices to correct department and expense allocation. Reconcile vendor statements. Processes Accounts Payable, Specialist, Accounting, Staffing


  • Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Job Description Job Description Catholic Community Services of Southern Arizona, Inc . (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you...


  • Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Job DescriptionJob DescriptionCatholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want...


  • Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Catholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want to make a difference, help...


  • Tucson, United States Catholic Community Services of Southern Arizona Inc Full time

    Job DescriptionJob DescriptionCatholic Community Services of Southern Arizona, Inc. (CCS) is thriving! For 90 years, CCS has focused its mission to strengthen families, support communities, provide compassionate services, and deliver excellence. Providing Help. Creating Hope. Serving All. We credit our continued success to our valuable employees! If you want...


  • Tucson, United States Easterseals Blake Foundation Full time

    Description: The Quality Improvement Specialist works under the Senior Director of Quality Improvement and is responsible for ensuring Behavioral Health, Intellectual Developmental Disabilities, and Children and Family Services systems in the agency are contract compliant regarding, credentialing, referral tracking and utilization management on a statewide...