Billing Specialist

Billing Specialist

Join Our Dynamic Rite of Passage Team as a Billing Specialist at Canyon State Academy in Queen Creek, AZ, a community rooted in a rich agricultural history and known for cultivating growth both in its fields and in the lives of youth-by fostering positive change and empowerment.

Canyon State Academy is located on a scenic 180-acre campus surrounded by a 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, and athletic center (gymnasium, padded wrestling room & more), Canyon State has it all!

Behavioral Health Billing Specialist is responsible for the accurate submission, follow-up, and collection of claims for Psychiatric Residential Treatment Facility (PRTF) services across multiple states and Medicaid Managed Care Organizations (MCOs).

This role requires knowledge of Medicaid billing, authorization-driven reimbursement, and multi-state payer requirements. The ideal candidate is detail-oriented, organized, and experienced in behavioral health revenue cycle management.

Key Responsibilities:

• Submitting claims for PRTF per diem services to Medicaid FFS and Managed Care payers as well as ensuring claims align with approved authorizations and contracted rates.
• Following up with Medicaid and MCO payers to secure timely payment and maintaining working knowledge of multi-state Medicaid billing requirements.
• Tracking billed days versus authorized days and maintaining HIPAA compliance and safeguard protected health information.

Required Qualifications: 2+ years of behavioral health or healthcare billing experience as well as 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 and multi-state Medicaid billing experience.

Education

Required

+ High School or better

Experience

Required

+ 2 years: Medicaid/Medicare, Medicaid Managed Care Plans

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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