Medical Assistance Claims & Eligibility Specialist

Ready to put your claims processing experience to work supporting refugee health services? Join the team as a Refugee Medical Assistance Claims and Eligibility Specialist, helping ensure eligible clients and health care providers receive accurate, timely claims and eligibility support.

Why you should apply

• Location: Phoenix, AZ 85007 — on site

• Schedule: Monday–Friday, 8:00 AM–5:00 PM; 40 hours per week

• Employment type: 7-month contract; Contract assignment through June 30, 2027

• Pay rate: $22/hr

What’s a typical day?

You will process and adjudicate medical, dental, and vision claims and prior authorization requests for the Refugee Medical Assistance program. This includes accurately entering claim information from paper forms, reviewing supporting documentation, checking eligibility and third-party liability, and resolving claim issues in accordance with program policies and procedures.

You’ll also communicate with health care providers about claims, billing, documentation, and eligibility; request missing records and consent forms; identify duplicate or potentially inappropriate claims for review; and help process claim adjustments, recoupments, and voids. Additional work includes scanning and quality-checking records, maintaining confidential paper and electronic files, and preparing reports and payment documentation.

This role may be a good fit if you have

• Vocational school education or training.

• At least one year of experience in health coverage or health insurance processing.

• Experience adjudicating insurance claims.

• Familiarity with Arizona Medicare.

• Strong data-entry accuracy and attention to detail.

• The ability to handle confidential information in accordance with HIPAA requirements.

• Experience with medical claims in a health care setting, basic data analytics, WellSky, Google Workspace, and Microsoft Office is preferred.

What happens next?

Apply today to be considered for the Refugee Medical Assistance Claims and Eligibility Specialist opportunity.

10479571