What are the responsibilities and job description for the AHCCCS BillingCodingCredentialing Specialist position 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, 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 :
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.
