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DUTIES AND RESPONSIBILITIES: Abide by all applicable policies, procedures, and program standards of ABHS, White Mountain Apache Tribe, Indian Health Services, Arizona Health Care Cost Containment System (AHCCCS) and other pertinent regulatory agencies (e.g., one's own mental health licensing board.
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Experience with State Regional Behavioral Health Authority (RBHA) system, AHCCCS health plans, private insurance, educational procedures and laws, legal system, and community resources. MHC Healthcare is seeking a Chief Clinical Officer to join the executive team at the Marana Main Health Center, located in the heart of Marana, AZ. The Chief Clinical Officer (CCO) provides clinical leadership and oversight to Clinical and Behavioral Health Staff and develops and executes administrative and clinical operational functions of programs, teams, and services.
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Knowledge working with self-pay, Medicare, Medicaid and AHCCCS. Knowledge working with self-pay, Medicare, Medicaid and AHCCCS. DMG employs over 650 credentialed providers and more than 350 professional/administrative staff as one of the largest physician groups in the Valley.
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Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers. Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.
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Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. Medicaid and Medicare Federal Regulations, State Statute, Rules, and Policies applicable to AHCCCS programs.
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Directly support Service Compliance Officers byfacilitating monthly and annual home visits as outlined by The State of Arizona ALTCS AHCCCS. This position requires that you drive throughout Maricopa County and be willing to expand into other counties within Arizona.
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For example: Assists consumers in obtaining benefits, i.e. SSI, AHCCCS/Medicare, Section 8, identification cards. Promotes a recovery based approach to member care that emphasizes hope, respect, self-direction and empowerment by providing peer support, personal assistance, education on community resources, supportive services, advocacy and other support primarily in-home and/or in the community to aid in members recovery from mental illness and/or addiction disorders.
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AHCCCS program design and implementation, prior authorization functions and responsibilities, provider network, and funding source. Collaborate with AHCCCS providers including SMI clinic, TRBHA, Medical Home or other treatment team members in order to provide technical assistance, training, & consultation on As needed, provides backup for the responsibilities held by the BH Prior Authorization/Utilization Review unit & other CMSU functions as needed.
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This includes eligibility requirements and procedures to effectively support the recruitment, registration, enrollment, and retention of consumers to the ACA Marketplace, AHCCCS, or discount programs; as well as referrals to social services or agencies.
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Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay. Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay.
$86,444 - $127,504 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. 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.
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Responsible for thorough understating of SBH, AHCCCS and other insurance billing requirements and procedures. Responsible for thorough understating of SBH, AHCCCS and other insurance billing requirements and procedures.
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Demographic information to AHCCCS for all outpatient programs in compliance. 1-2 years of AHCCCS verification experience preferred. with AHCCCS requirements. CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education and treatment using cutting-edge, nationally recognized, evidence-based models.
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AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. 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.
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Uploading treatment plans and required paperwork to the AHCCCS and Amity Foundation databases. + Upload and track paperwork of corresponding AHCCCS approvals and/ or requests for more information.
$15 - $18 an hourFull-timeExpandApply NowActive JobUpdated Today
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