Job: CLAIMS CUSTOMER SERVICE REP(Job Id 34320)

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Posted: 01/16/2018

Job Reference #: 34320

Job Description

12/18/2017
CUSTOMER SERVICE 15
PHOENIX 25,507.00-28,406.00

 

Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork

 

 

Claims Customer Service Rep

This position will remain open until filled.

 

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility. Visit our careers page to learn more about AHCCCS. Use your skills to benefit others; join the AHCCCS Team!

 

Accountabilities

The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Claims Customer Service Rep. The position answers phone calls from providers regarding the status of medical claims submitted, and clarifies claims policies and procedures.  This position has the potential of being worked from home following an extensive training period. Major duties and responsibilities include but are not limited to:

 

* Answers phone calls and addresses issues from providers regarding the status of medical claims submitted.

 

* Clarifies claims policies and procedures.

 

* Documents responses to provider inquiries/issues.

 

Minimum Qualifications

* Demonstrated professional interactions with internal and external customers in a health insurance call center.

 

* Experience with medical claims payment processes with ICD-9/10 coding.

 

* Excellent verbal and written communication skills.

 

* Proficient level of keyboard skills (40 WPM) and the ability to navigate within computer/systems.

 

* Demonstrated experience with research, analysis techniques, independent decision making and knowing when to evaluate the decision.

 

Preferred Qualifications

* Experience with AHCCCS Rules, Regulations, Policies, Procedures.

 

* Specialized knowledge of AHCCCS Fee For Service Programs.

 

* One year of experience in medical claims processing in an insurance/managed care environment.

 

Benefits

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Click here to learn more about benefits.

           

 

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer.
All newly hired employees will be subject to E-Verify Employment Eligibility Verification.
Click the APPLY NOW button to submit your application.
For technical assistance, email
[email protected] or call 602-542-4700.

Application Instructions

Please apply for this position by following the link provided below. A new window will open on your screen and you will be directed to the Arizona Health Care Cost Containment System (AHCCCS) employment website.

Click here to apply with Arizona Health Care Cost Containment System (AHCCCS)

Locations


7101 E Jefferson
Phoenix, AZ 85034
Arizona Health Care Cost Containment System (AHCCCS) - Flagstaff
N/A
Flagstaff, AZ 86001
Arizona Health Care Cost Containment System (AHCCCS)
701 East Jefferson
Phoenix, AZ 85034
Arizona Health Care Cost Containment System (AHCCCS) - Yuma
3850 W. 16th Street, Suite A
Yuma, AZ 85364
Arizona Health Care Cost Containment System - Chinle
Tseyi Shopping Center, Hwy. 191
Chinle, AZ 86503
Arizona Health Care Cost Containment System - Tucson
1010 N. Finance Center Drive, Suite 201
Tucson, AZ 85710
Arizona Health Care Cost Containment System-Globe
2250 Highway 60, Suite H
Miami, AZ 85539
Casa Grande
-
Casa Grande, AZ 85122
Cottonwood
-
Cottonwood, AZ 86326
Kingman Office ALTCS
519 E. Beale Street, Suite 130
Kingman, AZ 86401
Lake Havasu
-
Lake Havasu City, AZ 86403
PRESCOTT VALLEY
-
Prescott Valley, AZ 86312
Sierra Vista
-
Sierra Vista, AZ 85635
Not Specified
-
Not Specified, NS 99997
7101 E Jefferson
Phoenix, AZ 85034
Arizona Health Care Cost Containment System (AHCCCS) - Flagstaff
Arizona Health Care Cost Containment System - Chinle
Arizona Health Care Cost Containment System - Tucson
Arizona Health Care Cost Containment System (AHCCCS)
Arizona Health Care Cost Containment System (AHCCCS) - Yuma
Arizona Health Care Cost Containment System-Globe
Casa Grande
Cottonwood
Kingman Office ALTCS
Lake Havasu
PRESCOTT VALLEY
Sierra Vista
Not Specified

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