• Job Description

  Req#: 524132

  AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. Come join our dynamic and dedicated team.

  Accounting Specialist 1

  Job Location:

  Address: 801 E. Jefferson Street, Phoenix, AZ 85034

  Posting Details:

  This position is in-office, m ust reside in the state of Arizona

  Anticipated Salary: $43,777
  

  Grade: 16
  

  Closing Date: Open Until Filled

  Job Summary:

  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, approximately 27,000 pages or more.
  • Research, answer and respond to provider calls inbound from Call Center regarding refunds, returns, lost checks, denied claims, 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.
  • Reconcile the daily 54 mainframe reports against the daily 135 invoice interfaced file to AZ360, and report any rejects in the N01, NOS and 135 AZ360 inbound interfaced documents. Assist in correcting the rejected documents, and update the spreadsheet.
  • Identify, copy, and enter prior budget fiscal year aged invoices in AZ360 to current budget year as part of the year end process to avoid automatic canceling of transactions by General Accounting Office.
  • Prepare and enter Suspense balance sheet account and OIG settlement recovery deposits into AZ360.
  • Run and validate weekly health plan payment reports in AZ360-lnfo Advantage to assist in loading to SFTP secure server for them to retrieve.
  • Print and mail the weekly and monthly tribal rate code summary reports from Control D for Capitation. Update tracking report with mailed date and any address updates.
  • 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.
  • Identify and correct rejected vendor conversions and modifications for legal name or address updates as required to release the weekly invoices for the vendors to get paid.
  • Verify totals and provider/vendor number information for all manual certified payment requests from DHCM, prior to creating the spreadsheets. After confirming, enter encumbrances and invoices in AZ360 for timely payments.
  • 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, Skills & Abilities (KSAs):

  Knowledge:
  • 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
  
  Skills:
  • 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
  
  Abilities:
  • Adapt to changing priorities in an efficient and effective manner

  Qualifications:

  Minimum:
  • High school diploma, 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).

  Pre-Employment Requirements:

  • 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.

  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).

  Benefits:

  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

  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

  Retirement:

  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.

  Contact Us:

  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.

• About the company

  Arizona is on a mission to become the #1 state in the nation in which to live, work, play, get an education, and retire. Arizona state government plays a vital role in making this happen, and in order to maximize our potential the State of Arizona must operate in way that demonstrates a business-like approach. We are looking for enthusiastic and talented people to join the team.

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