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Qualified Billing Manager
3 months ago
Sanctuary Recovery Centers of AZ is the premier treatment facility in Arizona. We provide sober living for those in need of a structured, program-oriented, sober living environment while in the early stages of recovery from alcohol and/or drug addiction. Residents get the support and tools needed to transition back into society while renewing responsibilities to themselves, their families and their community.
Drug abuse treatment plans not only help addicts detoxify in a safe environment but also assist them through all stages of the recovery process. There are multiple types of treatment options available for drug abuse, including inpatient care, residential treatment, and outpatient programs. We offer a road map to find an inpatient drug rehab center for people struggling with the financial, physical and emotional cost of addiction. Finding the perfect treatment is only one phone call away
We are searching for caring, qualified professionals to join the Sanctuary team for full time support at our facility in Phoenix. Our professionals put client care first by providing hands-on care to individuals with varying degrees of mental illnesses and/or developmental disabilities.
Sanctuary is currently seeking an independent and detailed Billing Specialist with a strong commercial background including out-of-network collections.
Responsibilities
· Attendance / Census
· Billing Insurances and Clients
· Collections, including denials and appeals and reconsiderations
· Payment Posting – Manual & Auto
· Client statements and collections to include processing credit card payments and managing payment plans
· Review and work correspondence
· Scanning documents onto client’s accounts
Requirements
- At least 3 years Arizona Medicaid and Commercial Out-of-Network Experience
- At least 3 years of experience in behavioral health or medical, integrated care preferred.
- At least 3 years of experience with 835 and 837 files.
- Advanced Denial & Appeal Skills
- Intermediate Excel Skills
- Strong written and verbal communication skills
- Experienced to handle all matters related to billing, payments, and medical insurance filing for behavioral health medical facility.
- Professional interaction with clients and staff
- Submission of timely health insurance claims
- Preparation and mailing of client's bills, and collecting and applying payments received
- Experience with medical coding and terminology
This position also requires the specialist to act as a middleman between clients, clinical staff, and insurance companies. They review client charts and use a uniform list of medical codes to create a medical transcription of medical history, office visits, and treatments. They pass this documentation on to healthcare providers and insurance companies who use it to bill patients for the correct amount.
Become a Part of Our Team
If you are looking to make an impact, Sanctuary Recovery Centers is your destination. Sanctuary Recovery Centers provides comprehensive inpatient and outpatient services practicing at facilities throughout Maricopa county. Our core values, listed below, are essential to the successful execution of our mission and fulfillment of our vision statement:
- Collaboration: Whether we are working internally with other Sanctuary Recovery members or at the larger community level, health and wellness requires connection. It is important we have healthy connections in order to model the value to our clients.
- Fun: It’s important that we enjoy the work we do and should remember that things don’t always have to be so serious Oftentimes our clients have forgotten what it means to have fun and it is our job to re-introduce fun and happiness to them.
- Self-Care & Growth: It’s the longstanding airline saying, “put your mask on before helping others.” We understand that working in the behavioral health field has its challenges and requires us to practice what we preach. We encourage employees to engage in self-care practices and remain engaged in continuing education practices to keep the spirit alive
- Integrity: Everything we do, we must do with integrity. We are here to make the world a better place
Why work for us?
Comprehensive Benefits and/or Unique Perks or Incentives available to our employees:
· Medical, Dental and Vision Coverage after 60 days
· Paid time off (PTO)
· Direct Deposit
· Flexible Work Schedules
· Work/Life Balance and so much more
Full Job Description:
The billing specialist position is to lead a team towards comprehensive, accurate billing & collecting of Behavioral Health claims to maximize reimbursement. This position is responsible for the complex billing and collecting of Behavioral accounts in accordance with CMS Rules and Regulations, payer guidelines and Sanctuary policies and procedures.
Education:
- Requires a high school diploma or GED.
Experience:
- Must have at least three (3) years of hospital billing and Medicare collections experience.
- Prefer experience with Behavioral Health collections.
Knowledge, Skills and Abilities:
- Must have current knowledge of AHCCCS Behavioral Health and CMS rules and regulations.
- Must be able to handle multiple tasks simultaneously.
- Excellent organizational skills and ability to meet designated deadlines is required.
- Must be able to manage time appropriately.
- Data comparison skills are necessary.
- Requires the ability to read, write and speak effectively in English.
- Must have knowledge of hospital billing forms and billing requirements.
- Must have experience with Medics premiere or the billing side of Kipu.
Location: Sanctuary Recovery Centers · Patient Financial Services
Schedule: Regular FT 40 Hours Per Week, Days
