Billing and Coding Specialist

Description

The Billing and Collections Specialist will process insurance claims for medical services rendered and follow claims until paid. The Billing and Collections Specialist will also monitor that all active clients’ utilization management is current and work with the clinical team to ensure clients’ treatment is covered by insurance. 

Responsibilities

· Review documentation for accuracy for coding and billing purposes 

· Submit claims and all communications pertaining to the claims being submitted.

· Keep and update active reports for billing and billable items. 

· Utilization review (submitting and monitoring prior authorizations) 

· Reviewing denials for reprocessing

· Posting insurance payments against claims in billing software

· Verifying eligibility of clients prior to billing

· Following up on insurance eligibility for pending enrollments

· Attends meetings as needed for clearinghouse, billing, provider relations, etc.  

· As part of Axiom Care’s commitment to Culturally and Linguistically Appropriate Services (CLAS), this position supports efforts to provide inclusive and accessible translation services for clients. Responsibilities may include participating in CLAS-related training, supporting language access initiatives, and promoting cultural sensitivity in day-to-day operations.

· Perform other duties as assigned by management.

Who is Axiom Care?

Founded in 2012, Axiom Care is a Phoenix-based behavioral health organization that aims to ensure every Arizonan has access to compassionate, effective substance use treatment. With facilities in Maricopa and Pinal Counties, we offer comprehensive services including 24/7 observation, inpatient detoxification, residential treatment, outpatient treatment, and recovery housing with a focus on underserved populations.

Beyond our full-continuum community programs, we proudly operate specialty programs for the justice-involved (in partnership with ADCRR), for members of the Navajo Nation (in partnership with the Navajo Department of Health), and for Veterans (McCain Veteran Center).

Together, we’re building a future where compassionate care is accessible to all – come be a part of it!

What we offer

· Medical, Dental, and Vision

· 401(k) with up to 3.5% match

· Paid time off (PTO), paid sick time, and paid holidays

· Tuition Reimbursement

· Reimbursement for CMEs

· Free criminal record clearance for eligible justice-impacted staff through a partnership with Rasa Legal

· Employee Assistance Program (EAP)

· Voluntary benefits including group term life, voluntary term life, AD&D, short term disability, and accident coverage

Requirements

Requirements

· Excellent verbal and written communication skills. 

· Excellent interpersonal and customer service skills.

· Excellent sales and customer service skills.

· Excellent organizational skills and attention to detail.

· Excellent time management skills with a proven ability to meet deadlines.

· Strong analytical and problem-solving skills.

· Ability to prioritize tasks and to delegate them when appropriate.

· Ability to function well in a high-paced and at times stressful environment.

· Proficient with Microsoft Office Suite or related software.

Education and Experience

· High school diploma or equivalent.

· At least two years related experience required. 

Physical Requirements

· Prolonged periods of sitting at a desk and working on a computer.

· Must be able to lift up to 15 pounds at times.  

Disclaimer

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign