Customer Service Representative 2

Arizona Department of Administration•Phoenix, AZ

6d•Onsite

About The Position

The Department of Economic Security (DES), Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Customer Service Representative 2. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing Certification and Regulation, cannot have a principal interest in or have a spouse or close family with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Requirements

Knowledge in Generally Accepted Accounting Principles (GAAP).
Knowledge in Principles, concepts, practices, methods and techniques of governmental accounting and auditing.
Knowledge in Internal control structures; Fiscal management; Automated financial systems.
Knowledge in Billing procedures and services; QNXT system; PMMIS (Prepaid Medical Management Information System).
Knowledge in Federal and State laws pertaining to AHCCCS and DES/DDD Policies and Procedures, AHCCCS encounters.
Knowledge in Federal and State provider registration process.
Knowledge in Acute and long-term care (LTC) billing.
Skills In Organizing and prioritizing workload to meet expected and unexpected demands.
Skills In Working independently with a minimum amount of supervision as well as maintaining the confidence and cooperation of others.
Skills In Developing work systems to ensure critical functions are effectively performed.
Skills In Interpersonal relations applied to communications between the Division and service providers.
Skills In Interpreting applicable federal and state statutes, rules and policies pertaining to contracts and Title XIX programs.
Skills In Problem solving, decision making, and active listening.
Skills In Negotiations; Evaluation and analysis of data; Reconciliation and auditing; Creating and/or using databases and/or spreadsheets.
Ability to be Detail-oriented; Multi-task and prioritize large quantities of work.
Ability to Inspire confidence in service providers who rely on the technical expertise of this position for payment.
Ability to Find discrepancies; Resolve problems.

Nice To Haves

Experience working with individuals with developmental disabilities AND working with the public and problem solving.

Responsibilities

Works with Business Operations, Contracts, etc. on assigned Provider Grievances. Research the issue which could be on the provider side or the Division’s side. Works and researches with Contracts, Claims, Revenue Desk and reconciles bills, etc. After identifying the problem, the position works with other units to ensure a resolution. Train and retrain providers, etc.
Assists by conferring, advising, and providing technical assistance to statewide program providers on billing process, claims related issues, questions, inquiries, and corrections. Assists in analyzing automated systems and interfaces of provider service claims; performs data reconciliation; analyzes data encounters; and corrects rejected encounters primarily the QNXT and PMMIS applications.
Analysis of issues related to data entry errors and omissions. Provide logical expectation of issues and a logical and systematic approach to resolution. Continually gives assistance to existing providers who have specific billing, encounter, processing, or other payment issues on a daily basis.
Prepares materials and assists in meeting representatives of other units, departments and state agencies; gives, clarifies and receives information; assists in the planning and coordinating of joint efforts; resolves problems; seeks guidance and shares decisions.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities