AHCCCS

Address:  Division of Business & Finance - Programmatic Department
801 E Jefferson St, Phoenix, AZ 85034

Salary:  $42,712 - $43,778

Grade: 16

Closing Date: Open Until Filled

This position oversees the collating and mailing of the weekly Fee for Service remittance advices; answers inbound Call Center phone calls to assist providers; processes refunds and returned checks; reconciliation of OIG's settlement recoveries, deposits, refunds and transfers; monitors the tribal rate code summary report and the health plan's payment reports; enters encumbrances and invoices into AZ360 for timely payment processing; and identifies invalid provider's legal names and addresses for OIG's Provider Registration Unit to research and correct.

Major duties and responsibilities include, but are not limited to:
• Prepare, coordinate, and oversee the weekly collating and mailing of the Fee For Service cycle remittance advices.
• Research, answer and respond to provider calls inbound from Call Center regarding refunds, returns, lost checks, payment issues, Electronic Fund Transfer enrollment, and transfer calls to the appropriate departments.
• Process refunds and returned checks and determine how each check needs to be entered into the Access database (Checkflow). Prepare AZ360 log sheets and gather documentation when processing the refunds or offsets. Coordinate with Research and/or Provider Registration units to oversee and monitor check status and close out when completed.
• Reconcile the Office of Inspector General's (OIG) settlement recoveries monthly, to track all deposits, refunds and transfers processed, with what was submitted and requested by OIG.
• Prepare and enter Suspense balance sheet account and OIG settlement recovery deposits into AZ360.
• Run Cognos report to prepare a log sheet for stale dated warrant re-issue requests. Enter the stale dated warrant re-issue in AZ360, and communicate the processing details, and unclaimed property instruction to providers.
• Research and respond to incoming warrant inquiry emails from providers and redirect them to other units and or state agencies.
• Prepare deposits for CMS (civil monetary penalties) wires, and coordinate the processing of the inter-agency transfers with Arizona Department of Health Services (ADHS). Update and maintain the spreadsheet with all the completed documents.

Knowledge of:
• Complex funding sources to ensure the correct funding is applied to the claims process for the various federal and state funds
• Coordination with the Claims Department and Provider Registration for any adjustments needed relating to provider refunds, returned checks, or other inquiries
• State Archive policy and procedures to effectively archive and maintain agency records
• Mainframe, PMMIS, AZ360, Access database, and Cognos in order to run reports or research health plan and provider payments and refunds

Skill in:
• Oral and written communications Interpersonal relationships as applied to individuals associated with this agency, other state agencies and healthcare providers
• Comprehensive knowledge of reconciliation skills
• Accurate and quick data entry skills
• Work techniques required to maintain accounting records through automated systems including personal computer skills and mainframe computer skills
• Preparing and updating MS Excel spreadsheets

Ability to:
• Adapt to changing priorities in an efficient and effective manner

Minimum:
• High school diploma or equivalent GED.

Preferred:
• One year of experience in a customer service related accounts receivable, invoicing and reimbursement work environment where direct interaction was required with customers both in person and over the telephone.
• Bilingual communication verbally/in written form using Spanish.
• Knowledge/experience using the State Accounting System (AZ360).

• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.