Behavior Health Billing Specialist

About the role

Rite of Passage Team is hiring a Billing Specialist at Canyon State Academy in Queen Creek, Arizona. The academy offers a range of services including student housing, a thrift store, cafe, barbershop, and church, along with facilities like a weight room, football stadium, and athletic center.

Responsibilities

• Manage provider enrollment responsibilities, including validations/verifications requests.
• Initiate and complete the credentialing and re-credentialing process for all contracted and hired clinical providers.
• Oversee the collection of all necessary primary source verifications for credentialing.
• Verify client eligibility with Medicaid/Insurance carriers.
• May assist in obtaining authorization for services as needed.
• Works with departments to gather and review required billing information.
• Verifies accuracy and completeness of all required information needed for billing and payment.
• Bills Medicaid/Insurance carrier by inputting billing information to a database and initiating electronic transmissions.
• Maintains oversight of claims processing and payments.
• Reconciles all submitted and remitted bills.
• Solves disputed claims by gathering, verifying, and providing additional information; following up on claims.
• Communicates with customers regarding their billing and assists in collections.
• Resolves discrepancies by examining and evaluating data; selecting corrective steps.
• Completes required reports and documentation in a timely manner, providing management with required reports and advising of any problematic situations.
• Complies with and implements Rite of Passage and Rite Path Policies and Procedures as detailed in the appropriate manuals/handbooks.
• Aids in the correction of deficiencies and quality improvement efforts.
• Attends and participates in all required meetings.
• Notifies supervisor if annual training hours are deficient.
• Performs other duties as assigned, verbally or in writing to meet the needs of the program.

Qualifications

• High school diploma, BA/BS preferred.
• At least two years of experience with credentialing and billing Medicaid/Medicare, Medicaid Managed Care plans, and/or Commercial Insurance.
• Certified Professional Biller preferred.
• Experience with patient billing, EMR systems, and credentialing.
• If required to operate a company vehicle, must meet the requirements to be an eligible ROP driver.
• Must possess a current State Driver’s License and have an acceptable driving record for the past three (3) years.
• Ability to pass a criminal background clearance check, drug screen, physical, and TB test.

Benefits & Perks

• Medical, Dental, Vision, and company-paid Life Insurance within 90 days.
• 401k match of up to 6% after 1 year of employment.
• Paid Time Off that can be used as soon as it accrues.
• More benefits not listed here.

Pay

Details about pay are not specified in the job posting.

Schedule

The schedule is subject to change based on the needs of the program.