Billing Specialist
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Overview
Job Description
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!â¯
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:
This position requires prior knowledge and understanding of 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.
This position requires prior knowledge of Accounts Receivable & Collections and following up with Medicaid and MCO payers to secure timely payment and maintaining working knowledge of multi-state Medicaid billing requirements.
This position requires understanding Reporting & Compliance by 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.
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.