Denials Specialist Medix

• 3.7 Mesa, AZ Job Details Full-time | Contract $22
• $23 an hour 14 hours ago Qualifications Appeals Research Medical insurance appeals management Medicaid regulations Medical claims submission Filing patient billing claims Medicaid Insurance claims appeal handling Backlog management Analytics Full Job Description Denials Specialist
• AHCCCS /

Arizona Medicaid Location:

Mesa, AZ 85206

• Remote (MUST

BE ABLE TO PICK UP/DROP OFF EQUIPMENT

)

Pay:

$22.00

• 23.

00/hour

Contract:

6-

Month Contract Schedule:

Monday-Friday | 8-hour shift

Start Time:

Any shift beginning between 5:00 AM-8:00 AM Arizona time Position Overview We are seeking an experienced Denials Specialist for a 6-month contract project focused on clearing a significant backlog of denied behavioral health claims . The ideal candidate will have strong, hands-on experience with Arizona Medicaid (AHCCCS) billing and denials, along with a proven ability to research claims, prepare appeals, communicate with payers, and recover outstanding revenue. This is a high-volume, results-driven role where you'll be responsible for working aged claims while also identifying recurring denial trends and helping the Revenue Cycle team address the underlying causes. Key Responsibilities Denial & Backlog Management Audit, research, and work aged and unpaid AHCCCS claims . Correct claim issues and resubmit claims when appropriate. Work denials across major Arizona Medicaid Managed Care Organizations (MCOs). Prioritize and manage a high-volume backlog while meeting productivity and turnaround expectations. Appeals Management Research denial reasons and determine the appropriate resolution. Prepare and submit technical and clinical appeals. Ensure appeals meet applicable AHCCCS timely filing requirements . Gather supporting documentation and follow cases through final determination. Payer Follow-Up Track claims and appeals through AHCCCS Online, Availity , and other payer portals. Contact payers directly to obtain claim status, clarify denial reasons, and resolve outstanding issues. Maintain accurate documentation of all payer interactions and claim activity. Denial Trend Analysis Identify recurring billing, authorization, coding, and documentation issues. Recognize patterns contributing to claim denials and delayed reimbursement. Escalate root-cause trends and recommendations to RCM leadership. Partner with internal billing and clinical teams to help prevent future denials. Required Qualifications 3+ years of medical denials and appeals experience. Strong, hands-on experience with AHCCCS/Arizona Medicaid billing and reimbursement. Experience researching, correcting, appealing, and resubmitting denied claims. Strong understanding of payer requirements and timely filing guidelines. Ability to independently manage a high-volume claim backlog. Strong analytical and problem-solving skills. Excellent written and verbal communication skills. Strong attention to detail and documentation skills. Preferred Qualifications Experience working with behavioral health, psychiatric urgent care, or crisis services . Familiarity with behavioral health coding and applicable modifiers. Demonstrated success reducing a high-volume claims or denials backlog. Experience with behavioral health or healthcare systems such as: NextGen Qualifacts Waystar Availity Experience working with multiple Arizona Medicaid MCOs. Schedule Monday-Friday 8-hour shift Start time must fall between 5:00 AM and 8:00 AM Arizona time Contract Details 6-month contract $22.00

• 23.

00/hour 100% onsite Focused project supporting the reduction of an active AHCCCS behavioral health denials backlog

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.