Lead Billing Specialist

Posted 2 Hours Ago
Be an Early Applicant
Tucson, AZ, USA
In-Office
Mid level
Healthtech • Kids + Family • Social Impact
The Role
Leads healthcare billing submission operations across programs, payers, and funding sources. Coordinates workflows, monitors claim performance, resolves edits and rejections, manages paper EOBs, supports ERA enrollment, trains staff, oversees quality, and improves EHR billing workflows. Requires healthcare billing or revenue cycle experience, with responsibility for payer issue resolution, clean claim rates, billing timeliness, and cross-training in related revenue cycle functions.
Summary Generated by Built In

Looking to build a lasting career?  Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?

  • Top-level compensation packages
  • Exceptional health, dental, and disability benefits
  • Career and compensation advancement programs
  • Student loan forgiveness programs
  • 401k company match
  • Bilingual pay differential
  • Holiday, PTO and employer paid life insurance
  • Clinical licensure supervision and reimbursement
  • Evidence-based treatment approaches, training, and supervision. 

Intermountain Centers and its statewide affiliates are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.

 

 

General Summary: The Lead Billing Submission Specialist serves as the operational lead and subject matter expert for claim submission activities across multiple programs, payers, and funding sources. This position provides day-to-day workflow coordination, staff support, quality oversight, and training while maintaining an individual billing workload. Responsibilities include claim submission oversight, rejection management, paper EOB administration, ERA conversion efforts, payer issue resolution, and EHR workflow optimization. The Lead Billing Submission Specialist supports departmental goals by improving clean claim rates, reducing billing delays, and promoting consistent billing practices across the organization. 
As part of Revenue Cycle succession planning and professional development, this position will eventually cross-train within other Revenue Cycle functions, including Prevention Cycle, AR operations, Revenue Integrity, and Recovery Cycle after demonstrating proficiency in Billing submissions.

Job Responsibilities: 

  • Coordinate daily billing operations and work queues.
  • Monitor claim submission performance and billing aging.Review and resolve claim edits, rejections, and billing exceptions.
  • Manage paper EOB receipt, tracking, sorting, and assignment.
  • Research payers sending paper EOBs and support ERA enrollment efforts.
  • Serve as the first escalation point for complex billing issues.
  • Assist with onboarding, training, and quality reviews.
  • Support EHR stabilization, billing workflow optimization, and process improvement initiatives.
  • Collect, sort and assign paper mail. Manage Revenue cycle email.
  • Collaborate with Billing, Prevention Cycle, Recovery Cycle, Revenue Integrity, and Finance support functions.

Qualifications: 

Minimum Required Education: High School Diploma or GED

Preferred Education: Associate's or Bachelor's Degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field

Minimum Required Experience: Three (3) years healthcare billing or revenue cycle experience. Experience working claim submissions, claim edits, and payer follow-up.

Preferred Experience: Five (5) years healthcare revenue cycle experience. Behavioral Health revenue cycle experience. Experience with ERA, EFT, reconciliation, and payment variance analysis. Experience with AHCCCS, Medicare, Commercial Insurance, PMPM, Case Rate, Tribal, and Grant-funded reimbursement models. Experience training and mentoring staff. EHR conversion or optimization experience.

Regulatory Requirements: 

  • Minimum 18 years of age.
  • Valid AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment).

 

Questions about this position?  Contact us at [email protected].


Intermountain Centers is an equal opportunity employer.  Intermountain Centers does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.

Skills Required

  • High school diploma or GED
  • At least three years of healthcare billing or revenue cycle experience
  • Experience with claim submissions, claim edits, and payer follow-up
  • At least 18 years of age
  • Valid Arizona DPS Level I fingerprint clearance card maintained throughout employment
  • Associate's or bachelor's degree in healthcare administration, business administration, finance, accounting, or a related field
  • Five years of healthcare revenue cycle experience
  • Behavioral health revenue cycle experience
  • Experience with ERA, EFT, reconciliation, and payment variance analysis
  • Experience with AHCCCS, Medicare, commercial insurance, PMPM, case rate, Tribal, and grant-funded reimbursement models
  • Experience training and mentoring staff
  • EHR conversion or optimization experience
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The Company
461 Employees
Year Founded: 1973

What We Do

Intermountain Centers is an Arizona-based nonprofit healthcare system serving children, adults, and families with primary medical care, behavioral health care, diagnostics, specialized education, and housing support. Its evidence-based, individualized programs include Applied Behavior Analysis and trauma-informed therapies and aim to promote self-sufficiency and independence through education, vocational training, family-based services, and support in people's homes and communities wherever possible.

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