Special Programs Billing Specialist

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.The Special Programs Biller is responsible for managing the billing, payment reconciliation, data reporting, and research and resolution of billing and payment issues for custom contracts not following typical billing practices. These programs can include Arizona Families First, grant-funded programs, and demonstration or pilot projects. Collaborates closely with subcontractors and third parties where needed per program requirements. Under the general supervision of the Sr, Director, Revenue Cycle, the Special Programs Biller performs the following essential duties.Understands and ensures adherence to the details of relevant contracts and grants, especially billable services and billing proceduresCreates and maintains program billing and payment policies, procedures, workflows, and related documentationCoordinates the day-to-day billing processes for special programs to include services reviews, coordination with third parties and various internal teams, data reviews and reconciliationEnsures all billing is completed timely and per contract or grant requirementsCreates and maintains billing reports and data, to be shared with leadership and financial teamsIdentifies and executes opportunities for improvement to ensure efficient and reliable processesCollaborate with contract and grant authorities to resolve issues and maintain collaborative relationshipsStay up to date on coding requirements and best practices, including attending external training and meetings to proactively develop and implement forward thinking best practices.Assists with other claims projects and standard billing as needed.Benefits & WellnessWe invest in the health, well-being, and success of our employees and their families by offering comprehensive benefits, wellness resources, and opportunities to grow both personally and professionallyMultiple medical plan options, including a no-premium plan for employees and their familiesMultiple dental plan options, including orthodontic coverageVision insuranceGroup life and disability insurancePet insurance401(k) plan with company matchInterest-free medical line of creditFinancial education, planning, and support resourcesMonetary company contribution toward eligible benefitsBilingual pay differentialGenerous Paid Time Off (PTO) – 3 weeks off in the first yearPaid Sick Time10 paid holidays annuallyComprehensive wellness program featuring wellness challenges, activities, and prizesEmployee Assistance Program (EAP) available to employees and their family membersTrip Reduction ProgramOngoing professional growth and career development opportunities, including:ScholarshipsClinical supervisionContinuing Education Units (CEUs)Tuition discounts through Grand Canyon University, University of Phoenix, and Northern Arizona University (NAU)Access to the Working Advantage Employee Discount Program, with savings on:Gym membershipsCar rentalsFlights, hotels, movie tickets, and moreHigh School diploma or equivalent. Bachelor’s degree preferred5+ years’ experience in a health care billing positionDemonstrated knowledge of NextGen or similar HERIntermediate knowledge of Microsoft suite, especially excelIntermediate knowledge of data and financial reporting processesExperience interacting with cross functional partners, and external payers and stakeholdersStrong communication skills – written and verbal. Excellent collaboration and partnership skillsAbility to work well independentlyThis role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years’ driving experience or no driving experience.Must pass a TB test, a criminal background check and drug testPhysical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. #J-18808-Ljbffr TERRO