Revenue Cycle Specialist

4 weeks ago

Phoenix, United States AZ Center for Change Full time

Arizona Center for Change (AZCFC) is a mission-driven behavioral health agency serving individuals, youth, and families across Maricopa County. From intensive outpatient treatment to in-home family support, we provide life-changing services that promote accountability, healing, and hope. Our passionate team brings creativity, compassion, and integrity to everything we do-and we're looking for someone who shares that energy to join our revenue cycle team As a Revenue Cycle Specialist, you'll manage the full revenue cycle process-from intake to final payment-for both medical and non-medical services (such as court-ordered services, grant-funded programs, or private-pay clients). Your work will ensure clean claims, timely reimbursement, and accurate client billing. Duties include: NOTE: This is an on site position, not a work from home position. ESSENTIAL DUTIES: Verify insurance coverage and benefits prior to service delivery, including AHCCCS, commercial payers, EAPs, and grant programs Enter and review charges for accuracy and completeness, ensuring correct use of CPT, HCPCS, and ICD-10 codes Submit clean claims through electronic billing systems and clearinghouses, and follow up on rejections or payer edits Track authorization and funding sources, including private pay, probation vouchers, county-funded programs, and Title XIX Post insurance and client payments, reconcile deposits, and ensure accurate allocation of funds Manage aged accounts receivable by performing timely and persistent follow-up on unpaid claims and balances Process patient statements and send client invoices for non-billable services (e.g., no-shows, court reports, chaperone fees) Appeal denied claims, identify trends in denials, and collaborate with clinical and administrative teams to reduce errors Communicate with payers, clients, and internal staff to resolve billing questions, verify eligibility, and clarify charges Maintain accurate records and documentation to support audits, contract compliance, and reporting requirements Assist with monthly reconciliation and reporting to finance team, including revenue projections and payment trends Support new program billing setup, helping to identify correct billing codes, rates, and workflows for new services QUALIFICATIONS: 2+ years of experience in medical billing, revenue cycle, or healthcare claims processing (behavioral health or outpatient setting preferred) Strong knowledge of insurance billing practices, including AHCCCS, commercial plans, and third-party payers Familiarity with CPT, ICD-10, and HCPCS coding Experience with EHR systems and billing software (e.g., ClinicTracker, Kareo, NextGen, etc.) Strong attention to detail and ability to identify and correct billing errors Ability to manage competing priorities and meet billing deadlines Clear, professional communication skills for interacting with staff, clients, and payers High level of integrity and confidentiality when handling protected health and financial information (HIPAA-compliant) Comfortable working both independently and as part of a collaborative team

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