Special Programs Billing Specialist (6560)

Terros HealthPhoenix, AZ
1dOnsite

About The Position

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need. The Special Programs Biller is responsible for managing the billing, payment reconciliation, data reporting, and research and resolution of billing and payment issues for custom contracts not following typical billing practices. These programs can include Arizona Families First, grant funded programs, and demonstration or pilot projects. Collaborates closely with subcontractors and third parties where needed per program requirements. Under the general supervision of the Sr, Director, Revenue Cycle, the Special Programs Biller performs the following essential duties HOPE ~ HEALTH ~ HEALING Terros Health made the list!! "Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media.

Requirements

  • High School diploma or equivalent.
  • 5+ years’ experience in a health care billing position
  • Demonstrated knowledge of NextGen or similar HER
  • Intermediate knowledge of Microsoft suite, especially excel
  • Intermediate knowledge of data and financial reporting processes
  • Experience interacting with cross functional partners, and external payers and stakeholders
  • Strong communication skills – written and verbal.
  • Excellent collaboration and partnership skills
  • Ability to work well independently
  • Must pass a TB test, a criminal background check and drug test

Nice To Haves

  • Bachelor’s degree preferred

Responsibilities

  • Understands and ensures adherence to the details of relevant contracts and grants, especially billable services and billing procedures
  • Creates and maintains program billing and payment policies, procedures, workflows, and related documentation
  • Coordinates the day-to-day billing processes for special programs to include services reviews, coordination with third parties and various internal teams, data reviews and reconciliation
  • Ensures all billing is completed timely and per contract or grant requirements
  • Creates and maintains billing reports and data, to be shared with leadership and financial teams
  • Identifies and executes opportunities for improvement to ensure efficient and reliable processes
  • Collaborates with contract and grant authorities to resolve issues and maintain collaborative relationships
  • Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices.
  • Assists with other claims projects and standard billing as needed

Benefits

  • Multiple medical plans - including a no premium plan for employees and their families
  • Multiple dental plans - including orthodontia
  • Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
  • 4 Weeks of paid time off in the first year
  • Wellness program
  • Pet Insurance
  • Group life and disability insurance
  • Employee Assistance Program for the Whole Family
  • Personal and family mental and physical health access
  • Professional growth & development - including scholarships, clinical supervision, and CEUs
  • Tuition discounts with GCU and The University of Phoenix
  • Working Advantage - Employee perks and discounts
  • Gym memberships
  • Car rentals
  • Flights, hotels, movies and more
  • Bilingual pay differential
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