Billing Specialist – Revenue Cycle Manager

The Recovery Syndicate; Chandler (AZ); Hybride; USD 60 000 - 80 000; Plein temps

Avantages offerts par ce poste

Four weeks PTO during the first year

Health insurance

Dental insurance

Group life insurance

Employee Assistance Program (EAP)

Professional growth opportunities

Supportive leadership team

Flexible hybrid schedule

Résumé du poste

Recovery Syndicate in Chandler, AZ is seeking a Revenue Cycle Manager to oversee behavioral health and SUD billing. This hybrid, full-time position supports PHP, IOP, SUD, and co-occurring services with a blend of in-office and remote work.

You will manage the complete revenue cycle, monitor accounts, reduce denials, verify eligibility, obtain authorizations, and ensure compliance with AHCCCS and payer requirements.

Qualifications

• Minimum two years of behavioral health, SUD, or medical revenue cycle experience.
• Direct experience billing PHP and IOP services.
• Experience with commercial insurance billing.
• Direct experience with AHCCCS Fee-for-Service, AIHP, and per diem billing.
• Experience with insurance verification, prior authorizations, denial management, appeals, and accounts receivable.
• Working knowledge of behavioral health billing regulations and documentation requirements.
• Strong organizational, analytical, and communication skills.
• Ability to work independently with minimal supervision.

Responsabilités

• Manage the complete revenue cycle from admission through payment.
• Monitor accounts receivable, collections, aging, and payer performance.
• Analyze revenue cycle metrics and recommend process improvements.
• Identify opportunities to increase reimbursement and reduce denials.
• Support an average daily census of approximately 20–40 patients.
• Bill and manage claims for PHP, IOP, SUD, mental health, and co-occurring services.
• Submit commercial insurance, AHCCCS Fee-for-Service, AIHP, and per diem claims.
• Investigate and resolve denials, rejections, and underpayments.
• Perform payer follow-up and manage appeals.
• Maintain accurate billing documentation and claim records.
• Verify eligibility, benefits, and patient responsibility.
• Obtain and monitor prior authorizations.
• Manage AHCCCS CON and RON requirements.
• Track authorization utilization and renewal deadlines.
• Review documentation to ensure services support billing.
• Assist with utilization review documentation as needed.
• Maintain compliance with payer, state, and organizational requirements.
• Collect co-pays, deductibles, coinsurance, and balances.
• Establish payment plans and self-pay agreements.
• Communicate financial responsibilities professionally and compassionately.
• Support provider credentialing.
• Stay current with AHCCCS billing changes and requirements.
• Assist with APEP Portal activities.
• Collaborate with clinical and administrative teams to improve workflow and revenue performance.

Connaissances

Revenue cycle

AHCCCS billing

Denial management

Payer follow-up

Billing accuracy

Communication

Independent work

Outils

Kipu

Avea

Availity

APEP Portal

Microsoft Teams

Microsoft Outlook

Description du poste

Revenue Cycle Manager – Behavioral Health & SUD Billing

Recovery Syndicate
Chandler, AZ (Hybrid)
Full-Time | W-2 or 1099 Contractor
$60,000–$80,000 per year DOE

Job Summary

Recovery Syndicate is a growing behavioral health organization providing treatment for substance use disorders, mental health conditions, and co-occurring disorders.

Benefits

• Four weeks of paid time off during the first year
• Health insurance
• Dental insurance
• Group life insurance
• Employee Assistance Program (EAP)
• Professional growth opportunities
• Supportive leadership team
• Flexible hybrid work schedule

Responsibilities

Revenue Cycle Management

• Manage the complete revenue cycle from admission through payment.
• Monitor accounts receivable, collections, aging, and payer performance.
• Analyze revenue cycle metrics and recommend process improvements.
• Identify opportunities to increase reimbursement and reduce denials.
• Support an average daily census of approximately 20–40 patients.

Billing & Claims

• Bill and manage claims for PHP, IOP, SUD, mental health, and co-occurring disorder services.
• Submit commercial insurance, AHCCCS Fee-for-Service, AIHP, and per diem claims.
• Investigate and resolve denials, rejections, and underpayments.
• Perform payer follow-up and manage appeals.
• Maintain accurate billing documentation and claim records.

Insurance Verification & Authorizations

• Verify eligibility, benefits, and patient responsibility.
• Obtain and monitor prior authorizations.
• Manage AHCCCS CON and RON requirements.
• Track authorization utilization and renewal deadlines.

Compliance

• Review documentation to ensure services support billing.
• Assist with utilization review documentation as needed.
• Maintain compliance with payer, state, and organizational requirements.

Patient Financial Services

• Collect co-pays, deductibles, coinsurance, and balances.
• Establish payment plans and self-pay agreements.
• Communicate financial responsibilities professionally and compassionately.

Additional Responsibilities

• Support provider credentialing.
• Stay current with AHCCCS billing changes and requirements.
• Assist with APEP Portal activities.
• Collaborate with clinical and administrative teams to improve workflow and revenue performance.

Required Qualifications

• Minimum two years of behavioral health, SUD, or medical revenue cycle experience.
• Direct experience billing PHP and IOP services.
• Experience with commercial insurance billing.
• Direct experience with AHCCCS Fee-for-Service, AIHP, and per diem billing.
• Experience with insurance verification, prior authorizations, denial management, appeals, and accounts receivable.
• Working knowledge of behavioral health billing regulations and documentation requirements.
• Strong organizational, analytical, and communication skills.
• Ability to work independently with minimal supervision.

Preferred Certifications

One or more of the following is preferred:

• CPB
• CPC
• MHB
• CMRS

Preferred Software Experience

• Kipu
• Avea
• Availity
• APEP Portal
• Microsoft Teams
• Microsoft Outlook

Work Location

This position is based in Chandler, Arizona and offers a structured hybrid schedule with both in-office and remote work. We are open to hiring either a W-2 employee or an independent contractor (1099), depending on the candidate.