Accounting and Eligibility Specialist

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.