Billing Claims Administrator

About the role

Serve as a subject matter expert and point of contact for billing issues, including developing a relationship with vendors related to billing issues.
Analyze and provide guidance, training, and performance feedback to ensure staff effectiveness and development.
Develop and maintain billing policies, procedures, and documentation standards, including eCW billing configuration roles, fee schedules, CPT codes, modifiers, templates, claim scrubbing, and automated rule engines.
Conduct and provide analysis along with recommendations to department leadership.
Develop and maintain reports, metrics, and participate in special projects as needed to support this activity for the department and its leadership.
Audit billing records for accuracy and identify trends or areas needing process improvement.
Analyze, manage, and monitor claim denials, rejections, and adjustments; ensure timely follow-up and resolution.
Collaborate with compliance, finance, and program managers to address billing discrepancies and implement corrective actions.

Responsibilities

• Serve as a subject matter expert and point of contact for billing issues, including developing a relationship with vendors related to billing issues.
• Analyze and provide guidance, training, and performance feedback to ensure staff effectiveness and development.
• Develop and maintain billing policies, procedures, and documentation standards, including eCW billing configuration roles, fee schedules, CPT codes, modifiers, templates, claim scrubbing, and automated rule engines.
• Conduct and provide analysis along with recommendations to department leadership.
• Develop and maintain reports, metrics, and participate in special projects as needed to support this activity for the department and its leadership.
• Audit billing records for accuracy and identify trends or areas needing process improvement.
• Analyze, manage, and monitor claim denials, rejections, and adjustments; ensure timely follow-up and resolution.
• Collaborate with compliance, finance, and program managers to address billing discrepancies and implement corrective actions.

Requirements

• Two years of professional analytical experience and healthcare, finance, billing, and public health experience.
• Bachelor’s Degree in public administration, finance, or a relevant field.
• Post-secondary education may substitute for the experience requirement on a year-for-year basis.
• Must possess or have the ability to obtain a valid Arizona driver’s license by the time of hire.
• Must have reliable transportation, may have to travel to another location if coverage is needed.
• Within one month of hire, all employees will be required to provide evidence of immunity or receive immunizations for vaccine-preventable illnesses for any position within the Maricopa County Department of Public Health; required immunizations include MMR (measles, mumps, rubella), Tdap (whooping cough and diphtheria), Varicella (chickenpox), and annual Influenza; some positions require a Hepatitis B vaccine and/or a Tuberculosis test.
• Must have strong grasp of medical terminology and knowledge of CPT and HCPCS coding.
• Must have strong bilingual skills in English/Spanish.

Qualifications

• Must have two years of professional analytical experience and healthcare, finance, billing, and public health experience.
• Must have a Bachelor’s Degree in public administration, finance, or a relevant field.
• Post-secondary education may substitute for the experience requirement on a year-for-year basis.
• Must have a valid Arizona driver’s license by the time of hire.
• Must have reliable transportation, may have to travel to another location if coverage is needed.
• Must provide evidence of immunity or receive immunizations for vaccine-preventable illnesses for any position within the Maricopa County Department of Public Health; required immunizations include MMR (measles, mumps, rubella), Tdap (whooping cough and diphtheria), Varicella (chickenpox), and annual Influenza; some positions require a Hepatitis B vaccine and/or a Tuberculosis test.
• Must have a strong grasp of medical terminology and knowledge of CPT and HCPCS coding.
• Must have strong bilingual skills in English/Spanish.

Skills

• Strong communication and collaboration skills.
• Strong grasp of medical terminology and knowledge of CPT and HCPCS coding.
• Strong bilingual skills in English/Spanish.

Benefits

• Paid vacation, sick time, and parental leave.
• Extensive wellness program, including an incentive.
• Enrollment in the Arizona State Retirement System, a defined retirement benefit requiring an 11.98% contribution rate per paycheck that includes a 100% employer match on Day 1.

Pay

Anticipated Hiring Range: $65,000 - $84,750 annually
Full Range: $65,000 - 104,500 annually
Salary offers are based on the candidate's equivalent experience and internal equity with other employees within the same job classification. The position is not eligible for overtime compensation.

Schedule

Work is performed indoors in a high-volume, clinical office setting while interacting with a diverse population and working in a team environment.
This role is not substantially exposed to adverse environmental conditions.
Exerting up to 20 lbs. occasionally, 10 lbs. frequently, or negligible amounts constantly, or requires walking or standing to a significant degree.
Must be able to participate in emergency response training as scheduled and be available to respond as directed in the event of a public health emergency.