Billing and Collections Specialist
Queen Creek, AZ, United StatesYesterday
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Skills
About the role
We're Hiring! Billing and Collections Specialist
Join Rite of Passage at Canyon State Academy in Queen Creek, Arizona!
Are you detail-oriented, organized, and passionate about making a difference? Join Rite of Passage (ROP) and become part of a team dedicated to helping youth build brighter futures!
We value our team members and offer benefits designed to support your health, financial future, and work-life balance.
- Medical, dental, and vision insurance.
- Company-paid life insurance.
- Benefits available within 90 days of employment.
- 401(k) with an employer match of up to 6% after one year of employment.
- Paid time off that can be used as it accrues.
- Additional employee benefits and perks.
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Perform full-cycle outpatient behavioral health billing, including charge entry, claim preparation, submission, and follow-up.
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Review documentation, CPT/HCPCS codes, modifiers, authorizations, and insurance eligibility to ensure accurate billing.
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Submit electronic and manual claims to Medicaid, managed care organizations (MCOs), and commercial insurance payers.
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Post insurance and patient payments, adjustments, and reconcile payment discrepancies.
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Monitor accounts receivable aging and follow up on outstanding insurance and patient balances.
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Investigate and resolve rejected, denied, or underpaid claims, including corrections, reconsiderations, and appeals.
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Review remittance advice (RA/EOB) to identify reimbursement discrepancies and denial trends.
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Communicate with insurance payers and internal departments to resolve billing, authorization, and payment issues.
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Maintain accurate billing records and account documentation while ensuring compliance with payer requirements, company policies, and HIPAA.
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Meet established billing, productivity, and collection goals.
- High school diploma or equivalent required; associate’s degree preferred
- Minimum of 2 years of healthcare collections or medical billing experience preferred
- Behavioral health, residential treatment, or Medicaid collections experience strongly preferred
- Knowledge of insurance claims processing, denials management, and appeals
- Familiarity with Medicaid and managed care payer guidelines
- Strong analytical, organizational, and problem-solving skills
- Excellent communication and customer service abilities
- Ability to manage multiple accounts and deadlines effectively
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Proficiency in Microsoft Office Suite and healthcare billing systems
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Ability to pass a criminal background clearance check, drug screen, physical and TB test.
- Experience with behavioral health, PRTF, or residential treatment billing
- Understanding of authorizations, eligibility verification, and coordination of benefits
- Knowledge of multi-state Medicaid billing processes
For more than 40 years, Rite of Passage has been committed to improving the lives of youth and helping young people become successful adults.
As a Billing and Collections Specialist, you'll contribute to the operational success of our organization while supporting a mission that creates meaningful opportunities for the youth we serve.