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Medical Claims Biller - Behavioral Health

Medical Claims Biller - Behavioral Health

Express EmploymentPhoenix, AZ, US
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Job Description

Job Description

Top Job

Located in Phoenix, AZ

Overview

We are seeking a detail-oriented and driven Behavioral Health Claims Specialist / Medical Biller to join our team. This role supports the day-to-day operations of the claims department by gathering information, processing high-volume behavioral health and psychiatric healthcare claims, and ensuring accurate and timely reimbursement. The ideal candidate is highly skilled in Medicaid AHCCCS Plans, thrives in a fast-paced environment, and is passionate about maximizing collections while maintaining compliance and accuracy.

What You'll Do

  • Verify insurance eligibility for behavioral health services.
  • Scrub, batch, and file claims for accuracy, completeness, and compliance.
  • Reconcile electronic 837 transactions, payment files, and ensure claims are worked through to completion.
  • Troubleshoot denied or delayed claims with payers; analyze, research, and resubmit as needed.
  • Post payments and reconcile accounts to ensure accuracy.
  • Regularly correspond with insurance companies regarding outstanding or denied claims.
  • Maintain strict confidentiality of all claims and participant information.
  • Collaborate with internal teams to ensure proper documentation, coding, and billing practices.
  • Work toward and consistently achieve monthly collection goals.

Requirements

  • High School Diploma or equivalent required; Associate's degree in Medical Billing & Coding, CPC certification, or equivalent experience strongly preferred.
  • Minimum of 1-2 years' experience in a healthcare claims or billing setting, with behavioral health experience preferred.
  • Proven experience with Medicaid AHCCCS Plans and high-volume claims processing.
  • Proficiency in Microsoft Excel (assessment required).
  • Experience with EHR and computerized billing functions; Credible Billing Software experience a plus.
  • Familiarity with electronic billing systems (837 transactions) and payment reconciliation.
  • Valid Driver's License and acceptable three-year Motor Vehicle Record.
  • Valid Fingerprint Clearance Card or ability to obtain within 90 days of hire.
  • Not ideal for candidates with primarily manual entry billing backgrounds.

    • What We're Looking For

  • Strong problem-solving skills and persistence in pursuing payment.
  • Highly organized with excellent attention to detail.
  • Effective communicator with both internal staff and insurance representatives.
  • Ability to work independently while thriving in a high-volume, fast-paced environment.
  • Passion for getting payments collected and driving results.

    • Our Perks :

  • Exceptionally generous PTO (3.5 weeks off your first year and rising in subsequent years)
  • 14 paid holidays
  • 403(b) with company match
  • Medical / Dental / Vision insurance
  • Voluntary short and long term disability insurance
  • Life insurance
  • Employee assistance program
  • Voluntary insurance for critical illness, accident and hospitalization
  • Pet insurance

    • #2107

    Express Office : Peoria

    8345 West Thunderbird Road

    Suite B-107

    Peoria, AZ 85381

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    Medical Biller • Phoenix, AZ, US