Job Description

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.

Join Southwest Behavioral & Health for exceptional growth opportunities driven by our promote-from-within philosophy. We provide an EXCELLENT compensation and benefits package, including immediate participation in our 403(b) program with 20% company match after 1 year of service. Generous Paid Time Off (PTO) includes 3 weeks of time-off your 1st year (available after 6 months) and increased vacation accruals after 2, 5 and 10 years of service! We offer low cost medical insurance and offer 100% company-paid dental, Short Term Disability, Long Term Disability, and Life coverage for employees. Other great benefits include 10 paid holidays, vision, licensure/certification reimbursement, tuition reimbursement, prescription drug discounts, chiropractic services, 100% paid Employee Assistance Program, and much more!

Looking for a Billing Specialist to join our Client Financial Department!

Billing Specialist -Responsible for accurate and timely billing of electronic and hardcopy Behavioral Health claims. Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats. Creates and submits electronic copy UB04 claims for SBH Level I services. Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion. Ensures 95% of claims are billed within 2 months. Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months. Excellent customer service skills required.

Duties & Responsibilities:

  • Submits timely and accurate electronic and/or hardcopy behavioral health claims. (New, Resubmit, and Adjustments)
  • Identifies, researches, and resolves unbilled encounters and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
  • Identifies, researches, and resolves denied encounters within 6 months of service date.
  • Identifies, researches, and resolves unbilled FFS claims and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
  • Identifies, researches, and resolves denied FFS claims within 6 months of service date.
  • Creates reports of billed/paid/not-billed etc. for bi-weekly review with Billing Manager.
  • Keeps Manager informed of bi-weekly production of claims and problems interfering with successful claims submission.
  • Responsible for thorough understanding of SBH, RBHA, and other payer billing requirements and procedures.
  • Responsible for accurate record keeping of claims billing.
  • Assists in maintaining claim billing process and procedure manuals.
  • Utilizes Manager and the CFS team to discuss, enhance, and resolve issues.
  • To ensure compliance & adequate services, additional job duties may be required to meet the needs of the program and or department.

Education & Qualifications:

  • High School Diploma or G.E.D.
  • Associates degree preferred.
  • Minimum 1 - 2 years medical billing experience, which includes at least 1 year of electronic, claims submission required.
  • Experience with a variety of contractual reimbursement arrangements.
  • Medical and Billing Certification preferred.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online