Join Our Dynamic Rite of Passage Team as a Billing Specialist at Canyon State Academy in Queen Creek, AZ, a community rooted in a rich agricultural history and known for cultivating growth both in its fields and in the lives of Youth-by fostering positive change and empowerment.
Canyon State Academy is located on a scenic 180-acre campus surrounded by a Farm, Student Housing for 300 + youth, a Thrift Store, Cafe, Barbershop and Church open to the community incorporating life skills for our students. Along with a fully equipped weight room, football stadium, and athletic center (gymnasium, padded wrestling room & more), Canyon State has it all!
Behavioral Health Billing Specialist is responsible for the accurate submission, follow-up, and collection of claims for Psychiatric Residential Treatment Facility (PRTF) services across multiple states and Medicaid Managed Care Organizations (MCOs).
This role requires knowledge of Medicaid billing, authorization-driven reimbursement, and multi-state payer requirements. The ideal candidate is detail-oriented, organized, and experienced in behavioral health revenue cycle management.
Key Responsibilities:
This position requires prior knowledge and understanding of submitting claims for PRTF per diem services to Medicaid FFS and Managed Care payers as well as ensuring claims align with approved authorizations and contracted rates.
This position requires prior knowledge of Accounts Receivable & Collections and following up with Medicaid and MCO payers to secure timely payment and maintaining working knowledge of multi-state Medicaid billing requirements.
This position requires understanding Reporting & Compliance by tracking billed days versus authorized days and maintaining HIPAA compliance and safeguard protected health information.
Required Qualifications: 2+ years of behavioral health or healthcare billing experience as well as experience billing Medicaid and Managed Care payers.
Strong understanding of authorization-based billing processes.
Preferred Qualifications: Direct experience billing PRTF or residential behavioral health services and multi-state Medicaid billing experience.
Qualifications Education Required High School or better. Experience Required Medicaid/Medicare, Medicaid Managed Care Plans Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- 2+ years behavioral health or healthcare billing experience
- Experience billing Medicaid and Medicaid Managed Care payers
- Strong understanding of authorization-based billing processes
- Knowledge of submitting claims for PRTF per diem services to Medicaid FFS and Managed Care payers
- Experience with Accounts Receivable & Collections and payer follow-up
- Understanding of reporting and compliance, tracking billed days vs authorized days
- Maintain HIPAA compliance and safeguard protected health information
- High school diploma or equivalent
- Direct experience billing PRTF or residential behavioral health services
- Multi-state Medicaid billing experience
What We Do
Rite of Passage is a leading national provider of programs and services for troubled and at-risk youth. With 35 years of experience in the juvenile justice industry, Rite of Passage has multiple service divisions that work with nearly 2,000 youth and families daily including schools, community-based services, academic-model programs, gender-specific treatment and secure facilities. The agency and its staff provide targeted services, skill-building opportunities and rich programming that promote youth success within their community, and for life.
