Collections Specialist

Collections SpecialistJoin a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Collections Specialist at Canyon State Academy in Queen Creek, Arizona. Canyon State Academy is located on a scenic 180-acre campus surrounded by Farm student housing for 300+ youth, a Thrift Store, Cafe, Barbershop and Church open to the community incorporating life skills for our students. Along with a fully equipped weight room, football stadium, an athletic center (gymnasium, padded wrestling room & more).Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more!Essential Duties and Responsibilities Responsibilities include, but are not limited to:Follow up on outstanding insurance and patient balances to secure timely paymentInvestigate and resolve denied, rejected, or underpaid claims with Medicaid, managed care organizations (MCOs), and commercial insurance payersReview remittance advice (RA/EOB) and identify payment discrepancies or trendsSubmit claim corrections, reconsiderations, appeals, and supporting documentation as neededMaintain accurate documentation of account activity within billing systemsWork aging reports and prioritize accounts based on timely filing limits and reimbursement impactCommunicate with insurance representatives regarding claim status, authorization issues, and payment resolutionCollaborate with admissions, utilization review, credentialing, and billing teams to resolve claims issuesIdentify recurring billing or authorization issues and escalate trends to leadershipEnsure compliance with payer guidelines, company policies, HIPAA, and confidentiality standardsAssist with patient account inquiries and payment arrangements as neededMaintain productivity and collection goals established by the organizationQualificationsHigh school diploma or equivalent required; associate's degree preferredMinimum of 2 years of healthcare collections or medical billing experience preferredBehavioral health, residential treatment, or Medicaid collections experience strongly preferredKnowledge of insurance claims processing, denials management, and appealsFamiliarity with Medicaid and managed care payer guidelinesStrong analytical, organizational, and problem-solving skillsExcellent communication and customer service abilitiesAbility to manage multiple accounts and deadlines effectivelyProficiency in Microsoft Office Suite and healthcare billing systemsAbility to pass a criminal background clearance check, drug screen, physical and TB test.Preferred SkillsExperience with behavioral health, PRTF, or residential treatment billingUnderstanding of authorizations, eligibility verification, and coordination of benefitsKnowledge of multi-state Medicaid billing processes*Schedule subject to change based on the need of the program* After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Collections Specialist you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment.Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.