Billing Configuration Specialist

Community Medical Services•Scottsdale, AZ

About The Position

Reporting to the Chief Financial Officer, the Billing Configuration Specialist is responsible for configuring, maintaining, and optimizing billing rules, payer contracts, and system settings within the Kipu EMR. The ability to read and understand contractual agreements as well as state specific billing rules is a must. Strong attention to detail and system configuration expertise are critical for success in this role. Along the way, we’ll invest in your well-being through a benefits package for full-time employees that includes: Subsidized medical, dental, and vision insurance Health savings account Short and long-term disability insurance Life insurance Paid sick, vacation, and holiday time 401K retirement plan with match Tuition and Continuing Medical Education reimbursement up to 100% Employee assistance program to support your mental health and wellness Ongoing professional development

Requirements

High school diploma or GED required, bachelor’s degree in related field or equivalent experience preferred
Certified coder preferred
3-5 years healthcare billing system configuration, including payer rules and contract setup experience.
Behavioral Health Experience preferred.
Exceptional attention to detail with proven ability to manage complex system configurations accurately.
Experience working with EMR/EHR systems in a billing or implementation capacity.
Kipu EMR experience (highly preferred).
Ability to interpret payer contracts and translate requirements into system configurations.
Strong analytical and problem-solving skills.
Prolonged sitting, standing, frequent bending, stooping, or stretching associated with an office environment
Manual dexterity using a calculator and computer keyboard
Frequent and prolonged typing and operation of computer, keyboard and telephones
Ability to work flexible hours during critical implementation phases
Ability to travel independently as needed and travel to assigned CMS sites
Intermediate to advanced computer knowledge, including ability to navigate in electronic health records
Ability to communicate clearly and effectively between all organizational levels and with outside providers
Ability to coach, train, and motivate employees and evaluate their performance
General knowledge and aptitude for working independently with adults of mixed ethnic groups
Culturally competent and sensitive to client and employee needs
Excellent organizational skills, accuracy, and attention to detail
Problem solving, conflict resolution, time management, and strong customer service skills
Strong team player comfortable working in a fast-paced setting
Flexible with the ability to work in a continuously changing environment
Ability to work flexible hours including nights, weekends and holidays
Some travel may be required during Kipu implementation
Ability to maintain confidentiality to ensure compliance with HIPAA and 42 CFR, Part 2
Frequent use of telephone, computer, printer, fax machine and copier
Frequent use of the internet and various web browser software, and Microsoft Office Products, including Outlook, Word, Excel and Power Point

Nice To Haves

Certified coder preferred
Behavioral Health Experience preferred.
Kipu EMR experience (highly preferred).

Responsibilities

Configure and maintain payer contracts, billing rules, and reimbursement logic within Kipu.
Maintain Contractual Billing rules going forward in a timely fashion.
Implement billing workflows aligned with payer requirements, authorization rules, and regulatory standards.
Support Kipu system implementations, upgrades, and enhancements related to billing and financial operations.
Maintain documentation for payer rules, contract terms, and system configurations.