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Behavior Health Billing Specialist

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Overview

Schedule
Full-time
Career level
Entry-level
Remote
On-site
Benefits
Health Insurance
Dental Insurance
Vision Insurance

Job Description

✨Join a group of passionate advocates on our mission to improve the lives of youth!  Rite of Passage Team is hiring for a Billing Specialistat 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! ROP-benefits-and-perks-2  
What you will do: Manage provider enrollment responsibilities in a timely manner such as, but not limited to, completing validations/verifications requests.
  • 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
*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 Billing 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.
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FAQs About Behavior Health Billing Specialist Jobs at General

What is the work location for this position at General?
This job at General is located in Queen Creek, Arizona, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at General?
Employer has not shared pay details for this role.
What employment applies to this position at General?
General lists this role as a Full-time position.
What experience level is required for this role at General?
General is looking for a candidate with "Entry-level" experience level.
What benefits are offered by General for this role?
General offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Life Insurance, Paid Vacation, and 401k Matching/Retirement Savings for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at General?
You can apply for this role at General either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.