Billing Claims Administrator

Maricopa

Phoenix, Northern (AZ, KY)

Hybrid

USD 65,000 - 85,000

Full time

3 days ago
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Benefits offered by this job

Tuition reimbursement
Excellent work-life balance
Growth opportunities
Low-cost healthcare for you and depend
Child care benefits
Paid vacation and leave
Wellness program
ASRS retirement match

Job summary

Maricopa County Department of Public Health (MCDPH) seeks a Billing Claims Administrator to oversee daily billing operations, ensure accurate processing of claims and payments, and mentor staff. This role serves as the billing SME and liaises with the billing company while ensuring compliance with regulations.

The in-person role is based at Roosevelt Clinic in Phoenix, with occasional travel to the Public Health Administration Building. Strong knowledge of CPT/HCPCS and HIPAA is essential.

Qualifications

  • Two years of professional analytical experience in healthcare, finance, billing, and public health.
  • 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.

Responsibilities

  • Serve as a subject matter expert for billing issues and liaison with vendors.
  • Provide guidance, training, and performance feedback to staff.
  • Develop and maintain billing policies, CPT/HCPCS knowledge, and documentation standards.
  • Audit billing records for accuracy and identify areas for improvement.
  • Manage denials, rejections, and adjustments; ensure timely follow-up.

Skills

Billing
Healthcare experience
Public health
Finance

Education

Bachelor’s Degree in Public Administration, Finance, or relevant field

Job description

Posting Date 08/27/26 Application Deadline 09/01/26 Pay Range 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. Job Type Unclassified Department Public Health

About the Position

Are you looking for a meaningful career that combines analytical expertise with community impact? Do you want to play a key role in ensuring public health services are accessible and accurately funded? As the Billing Claims Administrator with the Maricopa County Department of Public Health (MCDPH), you will oversee, coordinate, and analyze daily billing operations to ensure the accurate and timely processing of claims, payments, and account reconciliations. In this role, you will serve as the subject‑matter expert on billing procedures, act as a liaison between the billing company and MCDPH, and ensure compliance with federal, state, and payer regulations. You will also mentor and support staff with billing questions to better serve the residents of Maricopa County. Strong communication and collaboration skills are essential, as this role partners closely with providers and administrative teams to support documentation, training, and workflow efficiency, ultimately providing better outcomes for the residents of Maricopa County.

The primary work location for this role is in-person at the Roosevelt Clinic (1645 E. Roosevelt St., Phoenix, AZ 85006). Travel to the Public Health Administration Building (4041 N. Central Ave., Phoenix, AZ 85012) may be required.

About Us

Come work for Maricopa County Department of Public Health, the 3rd largest health jurisdiction in the U.S.! MCDPH’s mission is to increase the quality of life for our residents by collaborating with the community to develop and implement strategies, programs, and services addressing the emerging and changing needs of public health. We aim to serve Maricopa County residents with a focus on impact and a data‑driven approach to our work. We value our staff's unique skills and differences, as well as the varied experiences and disciplines we represent. Together, we are working towards our vision of creating a healthy, thriving Maricopa County for all.

We Offer

We proudly Offer

  • Work with a greater purpose
  • 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 an 11.98% contribution rate per paycheck that includes a 100% employer match on Day 1
Job Contributions
  • 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. The program’s budget must be kept in mind, considering language line, taxi scheduling, labs, etc.
  • Manage patient and payer billing inquiries, ensuring excellent customer service and accurate communication. This will require a review of sensitive EOBs that are typically sent for billed services
  • Maintain up-to-date knowledge of billing codes (CPT, HCPCS, ICD-10) and reimbursement procedures
  • Ensure billing practices align with federal and state regulations, HIPAA requirements, and organizational policies
  • Stay informed about regulatory changes affecting billing and reimbursement processes
Requirements
  • We Require 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.
  • Other Requirements Must possess or have the ability to obtain a valid Arizona driver’s license by the time of hire
  • Employee 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
  • We Also Value One or more years of current claims processing experience
  • Strong grasp of medical terminology and knowledge of CPT and HCPCS coding
  • Bilingual skills in English/Spanish
Work Conditions

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.

Selection Procedure

Consideration will only be given to candidates who submit online applications. Candidates will be contacted primarily through email and their Workday online application profile.

Must pass a pre‑employment background and/or fingerprint investigation as required by statute or policy, including drug and alcohol testing requirements for positions designated as safety‑sensitive.

Equal Opportunity

Maricopa County is an equal opportunity employer and is committed to providing equal employment opportunities to all applicants. If you require a reasonable accommodation during the application process or to perform the essential functions of the position under the Americans with Disabilities Act (ADA), please contact MHRFeedback@maricopa.gov to initiate the interactive process.

We are Maricopa County. Who is that, you may ask? Forbes has rated Maricopa County one of Arizona’s Best Employers in 2024. We are over 13,000 employees strong, providing vital services for one of the fastest‑growing counties in the nation, with over four million residents who call Maricopa County home. You may wonder what we do, and it may be easier to answer that by asking what are you interested in! Join us and you will become part of a dynamic group of diverse and talented professionals who are passionate about making a difference and giving back to their communities. We offer career paths and opportunities in just about every job category and job level imaginable, so your journey with us is what you make of it! Along with offering purposeful careers, you can expect a rich selection of economical and comprehensive healthcare options, robust retirement plans, tuition and loan payment programs, and multiple paid leave options, as part of an overall generous compensation and benefits package. Thinking about career options, then please think about us! We are Maricopa County, and we are looking forward to working with you.

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