Behavioral Health Billing Specialist – Medicaid Claims

Rite of Passage Brand; Queen Creek (AZ); On-site; USD 50,000 - 70,000; Full time

Job summary

Canyon State Academy in Queen Creek, AZ is seeking a meticulous Billing Specialist to manage behavioral health billing across Medicaid and MCO payers. The role focuses on submission, follow-up, and collection of claims for PRTF services while ensuring compliance with authorizations and HIPAA.

The ideal candidate has 2+ years of behavioral health billing experience, strong attention to detail, and experience navigating multi-state Medicaid billing requirements to secure timely payments.

Qualifications

• 2+ years of behavioral health or healthcare billing experience.
• Experience billing Medicaid and Managed Care payers.
• Strong understanding of authorization-based billing processes.

Responsibilities

• Submit claims for PRTF per diem services to Medicaid FFS and Managed Care payers.
• Follow up with Medicaid and MCO payers to secure timely payment.
• Maintain HIPAA compliance and safeguard protected health information.

Skills

Behavioral health billing

Medicaid billing

Accounts Receivable & Collections

HIPAA compliance

Education

High School or better

Job description

Canyon State Academy in Queen Creek, AZ is seeking a meticulous Billing Specialist to manage behavioral health billing across Medicaid and MCO payers. The role focuses on submission, follow-up, and collection of claims for PRTF services while ensuring compliance with authorizations and HIPAA.

The ideal candidate has 2+ years of behavioral health billing experience, strong attention to detail, and experience navigating multi-state Medicaid billing requirements to secure timely payments.