Customer Service Representative 4

State of Arizona; Phoenix (AZ); Remote; USD 38,000 - 45,000; Full time

Job summary

Join a leading agency in Arizona as a Customer Service Representative 4, responsible for assisting providers with enrollment and compliance. This role offers opportunities for remote work and is part of a supportive team dedicated to high performance and community service.

Benefits

Paid holidays

Vacation

Sick leave

Parental leave

Retirement plans

Remote work options

Qualifications

• Two and a half years of experience in a multi-functional customer service environment.

Responsibilities

• Assist AHCCCS Providers in processing applications and answering questions.
• Conduct Site Visits to determine enrollment and compliance.
• Assess risk and screen providers for Medicaid enrollment.

Skills

Communication

Research

Troubleshooting

Tools

Computer Systems

Job description

Join to apply for the Customer Service Representative 4 role at State of Arizona.

19 hours ago Be among the first 25 applicants

Join to apply for the Customer Service Representative 4 role at State of Arizona.

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.

Customer Service Representative 4

Division of Member and Provider Services (DMPS)

Job Location: 801 E. Jefferson Street, Phoenix, AZ 85034

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Posting Details

Salary: $38,499

Grade: 17

First Review of Resumes: May 20, 2025

Closing Date: May 28, 2025

Job Summary

This position is responsible for conducting Provider Enrollment, On-Site Visits, ensuring Provider facility compliance with CMS Medicaid requirements, providing assistance, guidance, and answering questions during enrollment/application process for AHCCCS Providers. Will assist Providers with application packets in person and over the phone. Interview and question providers to elicit information necessary to determine CMS criteria being met for applicant provider type.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Many State employees participate in the State’s Remote Work Program and are able to work remotely within Arizona, unless an exception is authorized in advance.

Job Duties

• Assist AHCCCS Providers in processing applications, answering questions, and collecting information for over 100 provider types.
• Conduct Site Visits to determine enrollment and compliance.
• Determine eligibility based on CMS guidelines and research provider demographics.
• Assess risk and screen providers to eliminate excluded providers from Medicaid enrollment.
• Act as an AMS Team Lead on projects, share results, suggest process improvements, and assist with training new staff.
• Study statutes, rules, policies, and attend training to maintain expertise.

Knowledge, Skills & Abilities

• Proficient in computer systems including word processing, spreadsheets, email, and databases.
• Knowledge of Medicaid Programs, PECOS, CMS statutes, and provider enrollment portals.
• Strong interpretation, troubleshooting, research, and communication skills.
• Ability to work independently and as part of a team, handle multiple tasks, and work under stress.

Minimum Requirements

• Two and a half years of experience in a multi-functional customer service environment.

Preferred Qualifications

• Experience in medical eligibility, enrollment, claims processing, or customer service. Bilingual in Spanish is a plus.

Pre-Employment Requirements

• Background checks, employment verification, and reference checks.
• Valid driver’s license and acceptable driving record if driving is required.

Benefits

• Paid holidays, vacation, sick leave, parental leave, and other leave options.
• Retirement and insurance plans.
• Remote work options.

Retirement

• Lifetime pension through ASRS and voluntary deferred retirement investments.

Contact

Disability accommodations: [e-mail]. The State of Arizona is an Equal Opportunity Employer.