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Public Consulting Group Claims Analyst - 2019-4131 in Phoenix, Arizona

This job was posted by http://www.azjobconnection.gov : For more information, please see: http://www.azjobconnection.gov/ada/r/jobs/3398983 Overview

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Public Consulting Group, Inc. (PCG) provides management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has more than 2,200 professionals in 55 offices around the U.S. and in Montreal, UK and Poland. The firm draws on more than two decades of consulting to public sector clients in all 50 states and Canada to deliver best-practice solutions and measurable results to state and local public agencies, state-operated facilities, and private providers that do business with government agencies. PCG is committed to a diverse workforce which is a reflection of our clients and the people they serve. Our organizational culture attracts and rewards people who are results-oriented and interested in making an immediate impact on their community as well as their own career.

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Responsibilities

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Claims Analysts work in a deadline-oriented, fast paced environment as part of a growing team. The team goal is to provide superior service to school districts and state departments in the area of federal Medicaid claiming. Claims Analysts are self-starters who can quickly learn our web-based technologies and process Medicaid claims with an unwavering commitment to quality and compliance.

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Specific Responsibilities:

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Prepare and submit health claims to state Medicaid agencies for PCG clients across the country utilizing Microsoft Access, Microsoft Excel, and proprietary systems designed by PCG. Includes original, resubmission, and void claims.

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Complete Medicaid eligibility checks for Medicaid providers.

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Track and review claim submissions on Remittance Advices.

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Complete online and paper enrollment applications for Medicaid providers.

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Create and send pre-determined reports to internal staff and stakeholders.

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Document processes and procedures in policy manuals clearly and concisely.

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Qualifications

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Required Skills:

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Strong attention to detail and disciplined work ethic.

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Inquisitively analytical, unyielding problem solving skills.

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Demonstrated time management and organizational skills, ability to manage multiple deadlines and projects, as well as the ability to handle a variety of diverse assignments in various stages.

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Strong proficiency in Excel.

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Knowledge and strong understanding of Microsoft Access.

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Demonstrated excellence in technological roles and ability to quickly understand and adopt new technologies.

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Required/Preferred Experience:

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1-3 years of similar work experience required.

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Healthcare claiming experience a plus.

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Experience with Business Intelligence (report writing) a plus.

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School district (K-12) knowledge a plus.

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