Billing Specialist II

Southwest Behavioral and Health Services is seeking a dedicated Billing Specialist who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communities”. We are seeking someone who enjoys coordination, organized and excellent communication skills. Does this describe you? If so, you may be the person we are looking for to join our dynamic Client Financial Services team!

Job Preview at a Glance:

Responsible for accurate and timely billing of electronic and hardcopy Behavioral Health and medical claims.  Creates and submits a large volume of electronic HCFA claims via the 5010 837p format and  UB04 claims via 837i format for SBH Level I services.  Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion.  Ensures 97% of claims are billed within 1 months.  Resolves issues with unpaid claims to ensure 96% of claims are in a paid status within 3 months.  Excellent customer service skills required.

Location & Schedule:

This a Monday-Friday remote schedule with flexibility to come in office as needed.

Pay: Starting $22.00 hourly

Responsibilities:

• Submits timely and accurate electronic and/or hardcopy 837p and 837i and/or hard copy claims for behavioral health and Medical initial, resubmission, and adjustments claims according to the CFS billing schedules
• Must be familiar with all facets of the billing cycle
• Identifies researches, and resolves unbilled services on a weekly basis and escalates issues to Manager as needed to ensure 97% of claims are billed within 1 month of DOS.
• Identifies researches, and resolves denied claims within 1-4 weeks of denial date.
• Creates reports of billed/paid/not-billed etc. for weekly review with Billing Manager.
• Communicates with insurance companies as needed to resolve claims.
• Responsible to complete CFS cash application process for paper EOB's within one week of receipt of the EOB
• Responsible for thorough understating of SBH, AHCCCS and other insurance billing requirements and procedures.
• Responsible for accurate record keeping of all aspects of claims submission files.
• Assists in maintaining claim billing processes and procedure manuals.
• Maintains strictest confidentiality and adheres to all HIPPA guidelines/regulation
• Prepares, reviews, submits monthly involves for contracts CFS is responsible to bill.
• Assist in special projects and perform other related duties as needed and assigned

Qualifications:

• High School Diploma or G.E.D. required, Associates degree preferred.
• Minimum 4 years medical billing experience, which includes at least 2 years of electronic, claims submission required.
• Experience with a variety of contractual reimbursement arrangements.
• Medical Billing Certification preferred. 

Benefits:

Southwest Behavioral and Health Services offer full time employees’ low-cost medical insurance and 100% company paid dental, short term disability, long term disability and life insurance for employees. 3.3 weeks of PTO your 1^st year of employment, with increased accruals after 2, 5 and 10 years of service and 10 paid holidays. We will help you save for retirement – 40% company match up to a 10% deferral into your SB&H retirement account. We help you with your higher education goals – Reduce your tuition costs with our tuition reimbursement program & discount degree programs. Employee Assistance Program, Health & Wellness and much more!

About SB&H

Southwest Behavioral & Health Services is a large and growing, non-profit community-based provider of behavioral health services with locations throughout the Phoenix metropolitan area, rural Maricopa County, Gila, Pinal, Mohave, Coconino, and Yavapai Counties. We are a well-established voice in the community with more than 115 sites, over one thousand employees, and 40 years’ experience.

To learn about Southwest Behavioral & Health Services mission, values and services please review our website at https://www.sbhservices.org/

• Mission: Delivering Compassionate Care to Enhance Lives and Improve Communities
• Values: Compassion, Integrity, Quality, Empowerment, Innovation and Trust

SB&H is a drug-free workplace, drug screening required. EOE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.