Medical Billing Specialist

Medical Billing Specialist Express Employment - 3.8 Phoenix, AZ Job Details Full-time 1 day ago Benefits 403(b) matching Paid holidays Disability insurance Health insurance Dental insurance Paid time off Employee assistance program Vision insurance 403(b) Life insurance Pet insurance Qualifications Payment processing Spreadsheets High school diploma or GED Medicaid health insurance Driver's License Clinical information systems Medicaid regulations Medical claims submission Medicaid Medical billing account reconciliation Payment reconciliation Full Job Description 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. Monitor appeals and reimbursement 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