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Billing / Eligibility Analyst I (Admin)

Billing / Eligibility Analyst I (Admin)

Native American ConnectionsPhoenix, AZ, United States
11 hours ago
Job type
  • Permanent
Job description

Join Our Team at Native American Connections!

Who We Are :

Native American Connections (NAC) is a nonprofit organization dedicated to improving the lives of individuals and families through affordable housing, behavioral health, and community development services. For over 50 years, we have proudly served Native American and underserved communities in the Phoenix area with culturally competent, trauma-informed care

grounded in respect and tradition.

Our Mission :

Our mission, grounded in traditional Native American culture, is to reduce health disparities by delivering high-quality, comprehensive integrated healthcare and providing stable housing throughout the communities we serve.

Why Work With Us?

When you join NAC, you're not just taking a job - you're becoming part of a movement. A movement that values cultural identity, honors resilience, and believes in the power of community. You'll work alongside passionate professionals who are committed to healing generational trauma, strengthening families, and building vibrant futures.

What We Do :

  • Behavioral Health Services : Culturally responsive treatment for mental health and substance use disorders including outpatient therapy, residential programs, and youth services.
  • Affordable Housing : Safe, stable, and supportive housing options - from transitional housing to permanent low-income housing.
  • Community Development : Revitalizing neighborhoods and preserving Native heritage through community-based projects and education.

Our Values :

Health & Wellness | Quality | Accountability | Growth | Interconnectedness / Belonging | Community

Now Hiring :

We are seeking compassionate, mission-driven individuals to join our growing team across various departments including clinical services, housing support, youth engagement, and administrative leadership.

If you're passionate about social change, cultural advocacy, and serving diverse communities with dignity and care - NAC is the place for you.

Based in Phoenix, Arizona | 501(c)(3) Nonprofit Organization

Apply Today & Make a Difference Tomorrow :

Visit to view open positions and join our circle of care.

Billing / Eligibility Analyst I

Schedule : M-F 8am-5pm

Location : Admin, 3216 N 3rd St Phoenix AZ 85012

POSITION SUMMARY :

Under the direct supervision of the Revenue Cycle Accountant should understand NAC policies and all funding sources and contracts. The position is responsible for ensuring each client is assessed for appropriate funding sources and updated regularly. Ensure all documentation is received and is accurately documented.

RESPONSIBILITIES :

  • Reviews all enrollments for eligibility; processes enrollments and verifies status of client coverage in Arizona Health Care Cost Containment System (AHCCCS), Medicare, Behavioral Health Coverage, private insurance or other funding
  • Submits and uploads the weekly 270-271 files from AHCCCS.

  • Submit for non-title enrollments for SABG
  • Review new chart creations for accuracy and completeness.
  • Analyze and review client claims prior to submission, sending corrections back writers or supervisors, if need to.
  • Ensure residential and medical services have authorizations in place
  • Review all prior authorization received and attach to services for billing

  • Coordinate with clinical staff with any extended stays and CCR are submitted in a timely manner.
  • Submit completed claims to clearing houses 837p
  • Uploading returning 277 files, submit for corrections immediately.

  • Uploading 835 files
  • Analyze and monitor denied claims; make appropriate adjustments for resubmissions or prepare for write off.
  • Create invoice and send to Tribal payor source, post payment when received in EHR.
  • Reconciling invoices with balance sheet reports and resolving any discrepancies
  • Ensure efficient claim processing utilizing software and hardware necessary to complete accurate data entry.
  • Attend meetings as required.
  • Other duties as assigned.
  • QUALIFICATIONS AND REQUIREMENTS :

  • High School or GED required. AA degree in related field preferred.
  • Knowledge of eligibility / billing / benefits / enrollment in a behavioral health setting and a minimum of 2 years related work experience
  • Experience with Arizona Medicaid MCOs, RHBAs and TRBHAs eligibility
  • Experience in AHCCCS enrollment and benefit verification processes
  • Knowledge of HIMS / AXIOM preferred, or other EHR software
  • Detail oriented, able to multi-task, and meet deadlines
  • Experience in working with the Native American population preferred
  • Proficiency MS Office, especially Excel.
  • Able to effectively interact with others in a positive and professional environment.
  • Demonstrate critical thinking, problem-solving and time management skills.
  • Strong communication skills.
  • NATIVE AMERICAN PREFERENCE : Preference is given to qualified Native American Applicants in accordance with the Indian Preference Act. If claiming a preference, a copy of valid documentation will be necessary.

    DRUG FREE WORKPLACE : Native American Connections is a drug-free workplace with safety-sensitive jobs. Use of alcohol and legal or illegal drugs may impair and alter employees' judgement resulting in increased safety risks, workplace injuries, and faulty decision making. Reporting to work at NAC after use of alcohol, a controlled substance, or abuse of any other substance is absolutely prohibited.

    FAIR LABOR STANDARDS ACT :

    This position is considered to be Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws. Non-Exempt employees are entitled to overtime pay for hours worked in excess of forty (40) hours per workweek.

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    Admin • Phoenix, AZ, United States

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