About This Opportunity
Support the Claim Department by processing AHCCCS claims for VHS Phoenix Health Plan. Duties include clearing pended encounters from the AHCCCS pend report, compiling reports on outstanding encounters subject to sanctions and processing/ adjusting claims as needed including COB recovery, Customer Service requests, research and grievances. Also oversees and does follow up on recoupment requests and adjustment projects.
Special Skills: Must be highly organized, professional, and have excellent verbal communication skills. Analysts should be proficient in ICD-9, CPT, and HCPCS coding; strong data entry, 10-key and general numerical analytical skills are required.
Minimum Education: High School Diploma or GED
Minimum Experience: Five years of prior work experience as a claims analyst, preferably in commercial healthcare, managed care, and/or AHCCCS related lines of business.
Preferred Education: Bachelor’s Degree
Schedule: Full Time
Shift: Day Shift
Hours: M-F, 8-5
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About Abrazo Health Care
Abrazo Health Care’s five acute care hospitals consist of Arrowhead Hospital, Maryvale Hospital, Paradise Valley Hospital, Phoenix Baptist Hospital and West Valley Hospital. Each hospital offers a broad range of medical services including internal medicine, general surgery, cardiology, orthopedics, obstetrics, women’s health, diagnostic imaging and emergency care. Outpatient services include outpatient surgery, laboratory, radiology and rehabilitation services. Additionally Abrazo includes Arizona Heart Hospital, a campus of Phoenix Baptist Hospital, known for its distinct reputation as a premier cardiovascular specialty hospital and center of excellence dedicated exclusively to cardiac and cardiovascular care.
For more information and opportunities, see Abrazo Health Care.