Behavioral Health Claims & Billing Specialist

Express Employment Professionals - Peoria, AZ; Peoria (AZ); On-site; USD 45,000 - 65,000; Full time

Job summary

Express Employment Professionals - Peoria, AZ is seeking a detail-oriented Behavioral Health Claims Specialist / Medical Biller to support the day-to-day operations of the claims department. The role involves gathering information, processing high-volume behavioral health and psychiatric claims, and ensuring timely reimbursement with strong focus on AHCCCS Medicaid plans.

You will verify eligibility, scrub and file claims, reconcile 837 transactions, and work with payers to resolve denials while

Qualifications

• High School Diploma or equivalent; Associate degree in Medical Billing & Coding or CPC certification preferred.
• 1–2 years’ experience in healthcare claims or billing; behavioral health experience preferred.
• Proven experience with Medicaid AHCCCS Plans and high-volume claims processing.
• Proficiency in Microsoft Excel; experience with EHR and Credible Billing Software a plus.
• Familiarity with electronic billing systems (837 transactions) and payment reconciliation.

Responsibilities

• Verify insurance eligibility for behavioral health services.
• Scrub, batch, and file claims for accuracy, completeness, and compliance.
• Reconcile electronic 837 transactions, payment files, and ensure claims are worked through to completion.
• Troubleshoot denied or delayed claims with payers; analyze, research, and resubmit as needed.
• Post payments and reconcile accounts to ensure accuracy.
• Regularly correspond with insurance companies regarding outstanding or denied claims.
• Maintain strict confidentiality of all claims and participant information.
• Collaborate with internal teams to ensure proper documentation, coding, and billing practices.
• Work toward and consistently achieve monthly collection goals.

Skills

Attention to detail

Claims processing

AHCCCS Medicaid familiarity

Excel proficiency

Communication skills

Education

Associate degree in Medical Billing & Coding

CPC certification

Tools

Credible Billing

EHR software

Electronic billing software

Job description

Express Employment Professionals - Peoria, AZ is seeking a detail-oriented Behavioral Health Claims Specialist / Medical Biller to support the day-to-day operations of the claims department. The role involves gathering information, processing high-volume behavioral health and psychiatric claims, and ensuring timely reimbursement with strong focus on AHCCCS Medicaid plans.

You will verify eligibility, scrub and file claims, reconcile 837 transactions, and work with payers to resolve denials while