AHCCCS Billing/Coding/Credentialing Specialist
1 month ago
We are seeking a highly skilled AHCCCS Billing/Coding/Credentialing Specialist to join our team at Peoples Health Care Connection LLC.
The ideal candidate will possess excellent medical billing knowledge and understanding of AHCCCS billing processes and terminology. They will be responsible for monitoring and managing accounts, claims, claims resolution, accounts receivable, and posting of AHCCCS claims.
Key Responsibilities- Submit billing in a timely manner daily to AHCCCS insurances through various portals.
- Create reports on billing levels on a weekly basis.
- Assist with physical site upkeep, including cleaning, sanitizing, and maintaining a safe and healthy environment.
- Keep track and process accounts and incoming payments in compliance with financial policies and procedures.
- 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 detailing accounts receivable status.
- Serve as the liaison to therapist and AHCCCS Prior Authorization Department.
- Track and organize insurance information, following up on all claim denials.
- Effectively communicate billing, insurance, and coverage criteria updates with staff and management.
- Understand the insurance credentialing process.
- Keep up with compliance, coverage criteria, ICD-10 information, and update supervisors and team as needed.
- Assist with general office cleaning and maintaining the conference room area and other areas of the office.
- High School Diploma or GED.
- Minimum of 2 to 3 years' experience in Medical Billing, Billing and Coding Credential is 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.
- Bachelor's degree in Finance preferred. Some academic training in accounting required.
This is an in-person position only, no remote options.
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