Behavior Health Billing Specialist

Behavior Health Billing Specialist

Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Billing 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!

What you will do:

• Initiate and completed credentialing and re-credentialing process for all contracted and/or hired clinical providers.
• Oversee the collection of all pertinent primary source verification needed for credentialing;
• Verifies 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 database; initiating electronic transmissions, etc.
• Monitors claims processing and payments;
• Reconciles all submitted and remitted bills. Resolves 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;
• Treats others with respect, confronts negative behavior and supports confrontations.
• Completes required reports and documentation in a timely manner, provides management with required reports and advises of any problematic situations.
• Complies with and implements the Rite of Passage and Rite Path Policies and Procedures as detailed in the appropriate manuals/handbooks.
• Ensures the highest standards are maintained to prevent illegal, unethical, or improper conduct and to ensure the program remains in compliance with agency licensing and Rite of Passage and Rite Path policies and procedures.
• Assists with the correction of deficiencies and quality improvement efforts.
• Attends and participates in all required meetings.
• Commits to attending all training and staff development classes in order to ensure sufficient hours of training on an annual basis. Notifies supervisor if annual training hours are deficient.
• Other duties as assigned, verbally or in written form 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 during the course of employment, 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