Budget and Eligibility Specialist

Maricopa County•Phoenix, AZ

4d•Onsite

About The Position

The Budget and Eligibility Specialist position at Maricopa County, Correctional Health Services (CHS) involves multi-tasking and managing competing priorities, with a focus on budget and healthcare administration. The role is responsible for preparing monthly budget analysis and forecasting, annual budget development, and processing AHCCCS applications to determine eligibility status for a large healthcare organization. This position offers the opportunity to significantly impact daily operations by supporting internal teams and external stakeholders, ensuring accurate processing of budget and medical claims data.

Requirements

Two years of accounting, budgeting, healthcare compliance or specialized administrative experience
Bachelor’s degree in Finance, Healthcare Compliance or related field
A combination of post-secondary education and/or job-related experience may substitute for the minimum qualifications on a year-for-year basis.
Must successfully complete a fingerprint/background check with Maricopa County Sheriff’s Office
Successful candidates must currently possess, or have the ability to obtain, a valid driver's license by the time of hire

Nice To Haves

Experience with Budgeting
Experience with Electronic Health Record system
Experience with insurance, billing rules, or claims processing
Advanced knowledge in Microsoft Office Suite

Responsibilities

Assist in the development and analysis of the department’s annual operating budget
Support the preparation and submission of budget proposals in collaboration with the County Budget Office, including assisting with staffing projections, personnel cost modeling, and operational expenditure forecasts
Contribute to monthly budget-to-actual analysis and variance reporting
Assist in monitoring position control and personnel expenditures to help ensure alignment with authorized staffing levels and budget allocations
Assist in maintaining compliance with County budget policies, financial regulations, and applicable laws
Research patient information in HEAPlus and prepare AHCCCS applications to secure eligibility determinations and submit applications to AHCCCS and monitor status
Monitor the CHS Prior Authorization database for outpatient, inpatient, emergency department, and ambulance services
Ensure proper documentation and compliance with PHI and HIPAA requirements
Maintain required certifications and training for HEAPlus, AHCCCS, and CHS systems
Use computer research tools to conduct legal research on statutes, cases, and other sources for legal precedents and regulation compliance
Comprehensively track all legal functions, compiles statistical data for the legal division, and reports data analysis to CHS Leadership
Accept service of process/legal documents, such as Notices of Claim, complaints, and subpoenas, for the department and CHS employees.

Benefits

Tuition reimbursement
Exceptional work-life balance
Opportunities for growth and development within Maricopa County
Low-cost, high-value healthcare for you and your qualifying dependents
Child care benefits, including access to our on-site center, Maricopa County Kids Club, dedicated to serving Maricopa County families
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 a 12% monthly contribution rate that includes a 100% employer match on Day 1
Economical and comprehensive healthcare options
Robust retirement plans
Tuition and loan payment programs
Multiple paid leave options