Billing Specialist – Revenue Cycle Manager

The Recovery Syndicate•Chandler, AZ

89d•$60,000 - $80,000•Hybrid

About The Position

Recovery Syndicate is a growing behavioral health organization providing treatment for substance use disorders, mental health conditions, and co-occurring disorders. We are seeking an experienced Revenue Cycle Manager to oversee all aspects of the revenue cycle, from admission through reimbursement. This role works closely with leadership, clinical staff, admissions, utilization review, and insurance payers to maximize reimbursement, improve operational efficiency, and maintain compliance. The ideal candidate has direct behavioral health billing experience, including PHP, IOP, commercial insurance, AHCCCS Fee-for-Service, AIHP, authorizations, denials, accounts receivable, and payer follow-up.

Requirements

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.

Nice To Haves

CPB
CPC
MHB
CMRS
Kipu
Avea
Availity
APEP Portal
Microsoft Teams
Microsoft Outlook

Responsibilities

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 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.
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.