Billing Specialist I

 Southwest Behavioral and Health Services is seeking a dedicated and detail oriented Billing Specialist who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communities”.  We are seeking someone who enjoys coordinating with people, organized and excellent communication skills. Does this describe you? If so, you may be the person we are looking for to join our dynamic Client Financial Dept team!   

Job Preview at a Glance:

Billing Specialist I is responsible for accurate and timely billing of electronic and hardcopy Behavioral Health claims. Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats. Creates and submits electronic copy UB04 claims for SBH Level I services. Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion. Ensures 95% of claims are billed within 2 months. Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months.

Location: Remote position, must reside in AZ preferably in Maricopa County.

Pay: $21/hr.-$22/hr.

Duties & Responsibilities

• Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats. Creates and submits electronic copy UB04 claims for SBH Level I services.
• Responsible for creating reports from SBH systems to identify billed/denied/paid services and work to completion.
• Ensures 95% of claims are billed within 2 months.
• Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months.
• Excellent customer service skills required.

Duties & Responsibilities:

• Submits timely and accurate electronic and/or hardcopy behavioral health claims. (New, Resubmit, and Adjustments)
• Identifies, researches, and resolves unbilled encounters and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
• Identifies, researches, and resolves denied encounters within 6 months of service date.
• Identifies, researches, and resolves unbilled FFS claims and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
• Identifies, researches, and resolves denied FFS claims within 6 months of service date. Creates reports of billed/paid/not-billed etc. for bi-weekly review with Billing Manager.
• Keeps Manager informed of bi-weekly production of claims and problems interfering with successful claims submission. Responsible for thorough understanding of SBH, RBHA, and other payer billing requirements and procedures.
• Responsible for accurate record keeping of claims billing. Assists in maintaining claim billing process and procedure manuals. Utilizes Manager and the CFS team to discuss, enhance, and resolve issues. To ensure compliance & adequate services, additional job duties may be required to meet the needs of the program and or department.

Education & Qualifications:

• High School Diploma or G.E.D. Associates degree preferred.
• Minimum 1 - 2 years medical billing experience, which includes at least 1 year of electronic, claims submission required. Commercial insurance billing and accounts receivable experience preferred.
• Experience with a variety of contractual reimbursement arrangements.
• Medical and Billing Certification preferred.

Benefits:

• 3.3 weeks of PTO your 1st year of employment, with increased accruals after continued service!
• 10 paid holidays
• Low-cost medical, dental and vision insurance, short-term/long-term disability and life insurance for employees
• We will help you save for retirement – 40% company match up to a 10% deferral into your SB&H retirement account!
• Career Development – Benefit from our culture of internal promotion!
• We help you with your higher education goals – Reduce your tuition costs with our tuition reimbursement program & discount degree programs!
• Employee Assistance Program, Health & Wellness and much more!

About SB&H

Southwest Behavioral & Health Services is a large and growing, non-profit community-based provider of behavioral health services with locations throughout the Phoenix metropolitan area, rural Maricopa County, Gila, Pinal, Mohave, Coconino, and Yavapai Counties. We are a well-established voice in the community with more than 115 sites, over one thousand employees, and 40 years’ experience.

At Southwest Behavioral & Health Services, we believe in the power of Empowered Belonging — a culture where every individual’s unique perspectives, backgrounds, and experiences are welcomed and valued.

We’re committed to creating a workplace where unique perspectives are valued, personal journeys are respected, and every individual is empowered to bring their whole self to a shared mission of delivering compassionate, life-changing services to the communities we serve.

Through our Empowered Belonging program, we’re committed to:

• Voice & Visibility — ensuring every team member’s ideas, experiences, and contributions are recognized and heard.
• Fair Access — fostering openness and fairness in opportunities for growth, leadership, and advancement, while honoring the different journeys people take.
• Culture of Connection — building authentic, meaningful relationships across backgrounds, roles, and experiences, knowing that fresh perspectives strengthen our work.
• Learning & Growth — providing opportunities for ongoing development, empathy, and leadership that reflect the many experiences within our teams.
• Wellbeing & Safety — prioritizing the mental, emotional, and psychological safety of every person, recognizing that belonging means something different to each of us.

Where everyone belongs. Where everyone leads.

Join us in shaping a community where your difference makes a difference, and your impact is real.

To learn about Southwest Behavioral & Health Services mission, values and services please review our website at https://www.sbhservices.org/

 SB&H is a drug-free workplace, drug screening required. Southwest Behavioral & Health Services is an Equal Employment Opportunity Employer. Southwest Behavioral & Health Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.