Billing Specialist
Rite of Passage · Queen Creek, AZ · 1 wk ago
AccountingFull-time
Key Responsibilities
- Accurate submission, follow-up, and collection of claims for Psychiatric Residential Treatment Facility (PRTF) services across multiple states and Medicaid Managed Care Organizations (MCOs).
- Ensuring claims align with approved authorizations and contracted rates.
- Following up with Medicaid and MCO payers to secure timely payment.
- Maintaining working knowledge of multi-state Medicaid billing requirements.
- Tracking billed days versus authorized days and maintaining HIPAA compliance.
Required Qualifications
- 2+ years of behavioral health or healthcare billing experience.
- Experience billing Medicaid and Managed Care payers.
- Strong understanding of authorization-based billing processes.
Preferred Qualifications
- Direct experience billing PRTF or residential behavioral health services.
- Multi-state Medicaid billing experience.