Overview
AHCCCS BillingCodingCredentialing Specialist Jobs in Tucson, Arizona, USA at PEOPLES HEALTH CARE CONNECTION LLC
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 and 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.
Assist 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 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 therapists and the 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 all employees as needed.
Assist 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 of 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 knowledge 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.
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Title: AHCCCS BillingCodingCredentialing Specialist
Company: PEOPLES HEALTH CARE CONNECTION LLC
Location: Tucson, Arizona, USA
Category: Healthcare (Healthcare Administration, Medical Billing and Coding), Administrative/Clerical (Healthcare Administration)
