Crossroads Inc
Medical Billing Accounts Receivable (AR) Specialist
Crossroads Inc, Phoenix, Arizona, United States, 85003
Job Title
Medical Billing Accounts Receivable (AR) Specialist Reports To
Claims Support Supervisor Status
Full-time Company Summary
Crossroads is an Arizona Department of Health Services licensed substance abuse treatment provider with proven expertise in serving men, women, and Veterans with Substance Use Disorder through the provision of high quality, successful, and affordable residential and outpatient recovery programs. Job Summary
Medical Billing Accounts Receivable (AR) Specialist is responsible for managing medical billing accounts receivables, including denied and underpaid claims for clinic and behavioral health services, appeals, and knowledge of payer policies. Supervisory Responsibilities
None Essential Functions
Understanding of AR processes, healthcare billing, and familiarity with regulatory standards such as HIPAA, HCPCS, CPT, and ICD-10 coding. Communicates directly with payors to resolve denied or delayed claims and take appropriate actions to correct and re-submit claims. Maintains detailed records of all collection activities, including follow-ups and resolutions. Generates regular accounts receivable reports to monitor outstanding balances and track progress. Ensures compliance with legal and regulatory guidelines related to debt collection. Submits appeals according to payor guidelines as necessary. Reviews overpayments and forwarding balances. Works in conjunction with other billing staff to ensure timely filing. Identifies denial trends and determines process changes to prevent future denials. Assists with or obtains pre-authorization as required by various carriers. Performs other duties, as required. Qualifications
Current CPR / First Aid / Narcan training. Current and annual negative TB Test. Clean Motor Vehicle Record (MVR) check performed annually and upon hire, preferred. Successfully pass a background check and an Arizona Department of Health Services Adult Protective Services check. Knowledge, Skills, and Abilities
Strong understanding of medical billing and coding systems. Knowledge of Medicare, Medicaid, and Commercial insurance. Knowledge of Kipu and NextGen Office is preferred. Experience with Behavioral Health / Residential Treatment Center billing, preferred. Ability to work independently and as a member of a team. Ability to communicate effectively at multiple levels, both verbal and written. Education & Experience
Minimum of high school diploma or GED required, associate degree preferred. 1-3 years of medical billing experience preferably in a behavioral health setting. Medical Billing and Coding Certification preferred. Work Environment
Fast paced behavioral health setting. Physical Demands
While performing job duties, the employee is regularly required to sit and speak or hear. Occasionally required to stand, walk, use hands to handle or feel, reach hands and arms, stoop, kneel, crouch, or crawl. Must occasionally lift and / or move up to 50 pounds and seldom lift and / or move 100 pounds. Shift Requirements
Days Travel
Valid AZ Driver’s License. May include travel between sites and other locations. Local and statewide travel when requested or required. EEO
Crossroads is committed to providing a workplace free from harassment and discrimination. We believe all applicants and employees should be treated equally without regard to an individual’s race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. ADA Acknowledgement
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Benefits
401(k) with matching of up to 3% Company paid premiums for the full-time employee for Medical, Dental, Vision and Life Insurance Supplemental Life Insurance and short-term disability Paid time off Tuition Reimbursement
Tuition Reimbursement
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Medical Billing Accounts Receivable (AR) Specialist Reports To
Claims Support Supervisor Status
Full-time Company Summary
Crossroads is an Arizona Department of Health Services licensed substance abuse treatment provider with proven expertise in serving men, women, and Veterans with Substance Use Disorder through the provision of high quality, successful, and affordable residential and outpatient recovery programs. Job Summary
Medical Billing Accounts Receivable (AR) Specialist is responsible for managing medical billing accounts receivables, including denied and underpaid claims for clinic and behavioral health services, appeals, and knowledge of payer policies. Supervisory Responsibilities
None Essential Functions
Understanding of AR processes, healthcare billing, and familiarity with regulatory standards such as HIPAA, HCPCS, CPT, and ICD-10 coding. Communicates directly with payors to resolve denied or delayed claims and take appropriate actions to correct and re-submit claims. Maintains detailed records of all collection activities, including follow-ups and resolutions. Generates regular accounts receivable reports to monitor outstanding balances and track progress. Ensures compliance with legal and regulatory guidelines related to debt collection. Submits appeals according to payor guidelines as necessary. Reviews overpayments and forwarding balances. Works in conjunction with other billing staff to ensure timely filing. Identifies denial trends and determines process changes to prevent future denials. Assists with or obtains pre-authorization as required by various carriers. Performs other duties, as required. Qualifications
Current CPR / First Aid / Narcan training. Current and annual negative TB Test. Clean Motor Vehicle Record (MVR) check performed annually and upon hire, preferred. Successfully pass a background check and an Arizona Department of Health Services Adult Protective Services check. Knowledge, Skills, and Abilities
Strong understanding of medical billing and coding systems. Knowledge of Medicare, Medicaid, and Commercial insurance. Knowledge of Kipu and NextGen Office is preferred. Experience with Behavioral Health / Residential Treatment Center billing, preferred. Ability to work independently and as a member of a team. Ability to communicate effectively at multiple levels, both verbal and written. Education & Experience
Minimum of high school diploma or GED required, associate degree preferred. 1-3 years of medical billing experience preferably in a behavioral health setting. Medical Billing and Coding Certification preferred. Work Environment
Fast paced behavioral health setting. Physical Demands
While performing job duties, the employee is regularly required to sit and speak or hear. Occasionally required to stand, walk, use hands to handle or feel, reach hands and arms, stoop, kneel, crouch, or crawl. Must occasionally lift and / or move up to 50 pounds and seldom lift and / or move 100 pounds. Shift Requirements
Days Travel
Valid AZ Driver’s License. May include travel between sites and other locations. Local and statewide travel when requested or required. EEO
Crossroads is committed to providing a workplace free from harassment and discrimination. We believe all applicants and employees should be treated equally without regard to an individual’s race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. ADA Acknowledgement
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Benefits
401(k) with matching of up to 3% Company paid premiums for the full-time employee for Medical, Dental, Vision and Life Insurance Supplemental Life Insurance and short-term disability Paid time off Tuition Reimbursement
Tuition Reimbursement
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