Special Programs Billing Specialist (9068)

Terros Health•Phoenix, AZ

8d•Onsite

About The Position

Terros Health is a healthcare organization dedicated to inspiring change for life by helping individuals manage addiction and mental illness, providing primary medical care, restoring families, supporting veterans, and connecting people 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. The role 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 essential duties related to understanding and ensuring adherence to contract and grant details, creating and maintaining program billing policies and procedures, coordinating daily billing processes, ensuring timely billing, creating and maintaining billing reports, identifying process improvements, collaborating with contract and grant authorities, and staying updated on coding requirements and best practices. The role also assists with other claims projects and standard billing as needed.

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
Collaborate 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 training and meetings to proactively develop and implement forward thinking best practices.
Assists with other claims projects and standard billing as needed.

Benefits

Multiple medical plan options, including a no-premium plan for employees and their families
Multiple dental plan options, including orthodontic coverage
Vision insurance
Group life and disability insurance
Pet insurance
401(k) plan with company match
Interest-free medical line of credit
Financial education, planning, and support resources
Monetary company contribution toward eligible benefits
Bilingual pay differential
Generous Paid Time Off (PTO) – 3 weeks off in the first year
Paid Sick Time
10 paid holidays annually
Comprehensive wellness program featuring wellness challenges, activities, and prizes
Employee Assistance Program (EAP) available to employees and their family members
Trip Reduction Program
Ongoing professional growth and career development opportunities, including: Scholarships, Clinical supervision, Continuing Education Units (CEUs), Tuition discounts through Grand Canyon University, University of Phoenix, and Northern Arizona University (NAU)
Access to the Working Advantage® Employee Discount Program, with savings on: Gym memberships, Car rentals, Flights, hotels, movie tickets, and more