Accounting and Eligibility Specialist

We are hiring an Accounting and Eligibility Specialist for one of our clients in Phoenix, AZ.

Job Description

The Accounting and Eligibility Specialist is responsible for financial administration, processing vendor payments, reconciling payables, and processing AHCCCS applications to obtain eligibility status for a large healthcare organization. In this role, you will have the opportunity to make a meaningful impact every day, supporting both internal teams and external stakeholders while ensuring the accurate processing of financial and medical claims data. About the Office of or About the Department of Correctional Health Services Correctional Health Services (CHS) is an industry-leading healthcare organization for the incarcerated population, providing medical, dental, mental health, psychiatric care, and substance abuse treatment (i.e., Medication Assisted Treatment, and Opioid Treatment Program). Our department's culture promotes collaboration, continuous training, and flexibility. We challenge our team to spearhead initiatives, break down barriers, and advance their expertise.

ESSENTIAL JOB TASKS The tasks listed are a representation and not an all-inclusive list of essential job tasks for this position.

• Processes vendor payments from invoices, verifying deliverables and reconcile accounts payable/receivables
• Create and/or approves financial documents, including journal vouchers, team members invoices, and purchase orders
• Research accounting issues and provides information for audits and vendor inquiries
• Supplies informational and transactional support to external and internal customers
• Research patient's history in HEAPlus and interview patient to acquire appropriate information for AHCCCS eligibility applications. Submit completed applications to AHCCCS for eligibility determination.
• Monitors the CHS Prior Authorization database for medical service authorizations, including outpatient/inpatient claims, ambulance, and emergency department services.
• Reviews third-party and Medicaid AHCCCS payments and approvals for outside services.
• Communicates budget-impacting medical services to the Finance Supervisor and Administrator
• Ensures compliance with policies on the safekeeping of PHI.
• Maintain all certifications and training required by HeaPlus, AHCCCS and CHS Working Conditions
• Work is performed primarily in an office environment
• Must be able to work inside a jail and be able to travel within any/all clinics, as well as outside hospitals or other medical facilities when required.
• May require in person applications with the patient population and potentially exposure to contagious diseases.
• Must be able to sit, stand, walk, and read for a long period of time
• Must be able to perform multiple, complicated tasks and decision making, with accuracy on short deadlines
• Must be able to work both independently and as part of a team
• The position includes activities and interaction with all levels of County management and personnel.
  
  

Skills Required

• Work is performed primarily in an office environment
• Must be able to work inside a jail and be able to travel within any/all clinics, as well as outside hospitals or other medical facilities when required.
• May require in person applications with the patient population and potentially exposure to contagious diseases.
• Must be able to sit, stand, walk, and read for a long period of time
• Must be able to perform multiple, complicated tasks and decision making, with accuracy on short deadlines
• Must be able to work both independently and as part of a team
• The position includes activities and interaction with all levels of County management and personnel
  
  

Experience Required

• Three (3) years of clerical accounting, bookkeeping, or specialized administrative experience
• A combination of post-secondary education and/or job-related experience may substitute for the minimum qualifications on a year-for-year basis
  
  

Experience Preferred

• Associates degree or higher
• Three (3) or more years of clerical accounting, bookkeeping, or specialized administrative experience in healthcare or government
• Advanced knowledge in Microsoft Office Suite is preferred
• Moderate to advanced experience with CGI/Advantage Financial Software Suite
• Experience with accounts payable
• Experience with Electronic Health Record system
• Experience with insurance, billing rules, or claims processing
  
  

Education Required

• High school or General Educational Development (GED) equivalent
  
  

Education Preferred

• Associates degree or higher
  
  

Work Hours

• 8:00 AM to 5:00 PM
  
  

Additional Information

• Other Requirements
• Must successfully complete a fingerprint/background check with Maricopa County Sheriff's Office
• A valid, unrestricted Driver's license Training onsite with potential to move to hybrid position with reporting to office 1xweek Drug and background screenings will be completed by client
  
  

About Us

We are specialized in recruiting and deliver the best professional talent of industry and we are committed to deliver best experience for our clients and job seekers. With over two decades of experience in the recruitment industry, we proudly help you to find the next job that matches your professional skills. Our team understands your needs or requirement before starting the recruitment, that enables to find the high quality of talent with high success rate of talent delivery, keeps us continue to be the best in the industry. By responding to this job posting, you are consenting to receive text/SMS messages from us. Thank you.