Job Description
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 departments 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 lised 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 patients 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.
Skills Preferred
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
Additional Information Other Requirements
Must successfully complete a fingerprint / background check with Sheriffs Office
A valid, unrestricted Drivers license Training onsite with potential to move to hybrid position with reporting to office 1xweek Drug and background screenings will be completed by client.
Eligibility Specialist • Phoenix, AZ, US