AHCCCS Billing/Coding/Credentialing Specialist

1 month ago


Tucson, Arizona, United States PEOPLES HEALTH CARE CONNECTION LLC Full time
Job Summary

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.
Requirements
  • 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.



  • Tucson, Arizona, United States CODAC Health Full time

    Job Summary:As a Contract and Credentialing Specialist at CODAC Health, you will be responsible for managing all aspects of behavioral health treatment service contract administration, including technical knowledge of provider types and treatment service billing rules. You will also oversee the acquisition of provider contracts and agreements, manage...


  • Tucson, Arizona, United States CODAC Health Full time

    Job SummaryAs a key member of the CODAC Health team, the Contracts and Credentialing Specialist will be responsible for managing all aspects of behavioral health treatment service contract administration. This includes developing and managing payer-specific contracts, overseeing the acquisition of provider contracts and agreements, and managing provider...


  • Tucson, Arizona, United States Tucson Medical Center Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Billing Associate to join our team at Tucson Medical Center. As a key member of our patient accounting department, you will be responsible for processing monies, payments, and adjustments related to patient accounts, ensuring proper verification, reconciliation, and reporting of...


  • Tucson, Arizona, United States Tucson Medical Center Full time

    Job SummaryWe are seeking a highly skilled Medical Document Control Analyst to join our team at Tucson Medical Center. As a key member of our Pre-Services Medical Necessity team, you will play a critical role in ensuring that patients receive timely and necessary healthcare services.Key ResponsibilitiesReview and analyze physician-submitted clinical...


  • Tucson, Arizona, United States Abacus Full time

    Job SummaryAbacus is seeking a highly experienced Code Enforcement Specialist to join our team. As a key member of our Code Enforcement department, you will be responsible for developing and implementing code enforcement projects, directing and monitoring project schedules and budgets, and reviewing and approving plans and specifications.Key...


  • Tucson, Arizona, United States Leidos Full time

    Job Title: Senior Billing Contract SpecialistJob Summary: Leidos is seeking a skilled Senior Billing Contract Specialist to join our virtual Controller Shared Service Accounts Receivable team. As a core member, you will play a vital role in generating cash flow for Leidos.Key Responsibilities:Collaborate with finance teams to ensure the integrity of billing...


  • Tucson, Arizona, United States Sunbelt Healthcare Full time

    Credentialing Specialist Job DescriptionThe Credentialing Specialist position at Sunbelt Healthcare requires an organized individual with excellent time management skills and relevant industry experience. The successful candidate will be responsible for initial credentialing and contracting of providers for various specialties. Additionally, maintenance of...


  • Tucson, Arizona, United States BroadPath Healthcare Solutions Full time

    OverviewBroadPath Healthcare Solutions is seeking a skilled Medical Coding Specialist to join our remote team. As a key member of our team, you will be responsible for accurately coding insurance claims into our database system, ensuring compliance with all regulatory requirements and facilitating seamless claims processing.ResponsibilitiesFollow up with...


  • Tucson, Arizona, United States Tohono O'odham Nation Healthcare Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Tohono O'odham Nation Healthcare. As a Medical Claims Examiner, you will be responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related...


  • Tucson, Arizona, United States Helping Ourselves Pursue Enrichment Inc Full time

    Job SummaryWe are seeking a highly motivated and experienced Peer Support Specialist to join our team at Helping Ourselves Pursue Enrichment Inc. As a Community Liaison/Policy, you will play a critical role in promoting a recovery-based approach to member care, emphasizing hope, respect, self-direction, and empowerment.Key ResponsibilitiesCoordinate with...


  • Tucson, Arizona, United States Easter Seals Blake Foundation Full time

    About the Role:The Easterseals Blake Foundation is seeking a highly skilled Child Development Specialist to join our Behavioral Health Division. As a key member of our treatment team, you will provide outpatient behavioral health treatment services to AHCCCS-eligible children, their families, and/or adults.Key Responsibilities:Provide individual therapy,...

  • Nutrition Specialist

    4 weeks ago


    Tucson, Arizona, United States Childrens Clinics For Rehabilitative Services Full time

    Job SummaryChildren's Clinics For Rehabilitative Services is seeking a highly skilled Registered Dietitian Nutritionist to join our team. As a key member of our Rehabilitative Services department, you will be responsible for providing comprehensive nutrition services to eligible patients and collaborating with medical specialty clinics to ensure optimal...

  • Home Care Specialist

    4 weeks ago


    Tucson, Arizona, United States The SPEAK Center for Language and Learning Full time

    About the RoleThe SPEAK Center for Language and Learning is seeking a highly qualified Home Care Specialist to deliver high-quality, person-centered home care to AHCCCS/ALTCS/DDD eligible members in their homes or places of residence.ResponsibilitiesProvide tasks necessary for the comfort and safety of the Member that do not require medical or nursing...


  • Tucson, Arizona, United States PSG Global Solutions Careers Full time

    Diagnostic Imaging SpecialistAt PSG Global Solutions Careers, we're seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing diagnostic general imaging ultrasound examinations according to AIUM and ACR guidelines for procedures and scanning protocols. Your expertise will be...


  • Tucson, Arizona, United States Carondelet St. Josephs Hospital Full time

    Welcome to Carondelet Health Network, where making a real difference in people's lives is at the heart of everything we do.We believe in the power of genuine connections and heartfelt compassion, which sets us apart and makes us truly special.As a member of our team, you'll be part of a community that uplifts and supports each other every day.We're committed...


  • Tucson, Arizona, United States TTF Full time

    Job Title: Healthcare Revenue Cycle SpecialistTTF is seeking a skilled Healthcare Revenue Cycle Specialist to join our team. This is a full-time, direct-hire opportunity with a well-respected hospital system in Tucson, AZ.Key Responsibilities:Billing and collections of patient accountsEnsuring timely, complete, and accurate billing in accordance with...

  • MRI Technologist

    4 weeks ago


    Tucson, Arizona, United States PSG Global Solutions Careers Full time

    Job SummaryWe are seeking a skilled MRI Technologist to join our team. As a diagnostic imaging specialist, you will be responsible for performing MRI procedures, locating and recording internal elements of the body, and identifying any anomalies indicative of disease, injury, or other medically significant conditions.Key ResponsibilitiesPerform MRI...


  • Tucson, Arizona, United States TTF Search and Staffing Full time

    Job SummaryTTF Search and Staffing is seeking a skilled Healthcare Revenue Cycle Specialist to join our team.Key Responsibilities* Ensure timely and accurate billing and collections of patient accounts* Resolve problems and demonstrate a complete understanding of payor and/or patient requirements* Collaborate with healthcare professionals to ensure seamless...


  • Tucson, Arizona, United States DEPENDABLE HOSPICE AND PALLIATIVE CARE Full time

    Hospice Care SpecialistDependable Hospice & Palliative Care is seeking a compassionate and skilled Hospice Care Specialist to provide specialized care and support to patients and their families during end-of-life journeys. As a Hospice Care Specialist, you will collaborate with interdisciplinary teams to create and implement individualized care plans for...

  • Paralegal Specialist

    3 weeks ago


    Tucson, Arizona, United States Pima County, AZ Full time

    Job Title: Paralegal SpecialistJob Summary: We are seeking a highly skilled Paralegal Specialist to join our team at Pima County Public Defense Services. The successful candidate will provide support to our attorneys and staff in the preparation and presentation of cases.Key Responsibilities:Assist attorneys in the preparation of cases, including researching...