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  Perform full-cycle outpatient behavioral health billing, including charge entry, claim preparation, submission, and follow-up.
  
  


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  Review documentation, CPT/HCPCS codes, modifiers, authorizations, and insurance eligibility to ensure accurate billing.
  
  


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  Submit electronic and manual claims to Medicaid, managed care organizations (MCOs), and commercial insurance payers.
  
  


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  Post insurance and patient payments, adjustments, and reconcile payment discrepancies.
  
  


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  Monitor accounts receivable aging and follow up on outstanding insurance and patient balances.
  
  


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  Investigate and resolve rejected, denied, or underpaid claims, including corrections, reconsiderations, and appeals.
  
  


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  Review remittance advice (RA/EOB) to identify reimbursement discrepancies and denial trends.
  
  


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  Communicate with insurance payers and internal departments to resolve billing, authorization, and payment issues.
  
  


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  Maintain accurate billing records and account documentation while ensuring compliance with payer requirements, company policies, and HIPAA.
  
  


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  Meet established billing, productivity, and collection goals.
  
  

• High school diploma or equivalent required; associate’s degree preferred  


• Minimum of 2 years of healthcare collections or medical billing experience preferred  


• Behavioral health, residential treatment, or Medicaid collections experience strongly preferred  


• Knowledge of insurance claims processing, denials management, and appeals  


• Familiarity with Medicaid and managed care payer guidelines  


• Strong analytical, organizational, and problem-solving skills  


• Excellent communication and customer service abilities  


• Ability to manage multiple accounts and deadlines effectively  


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  Proficiency in Microsoft Office Suite and healthcare billing systems  
  
  


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  Ability to pass a criminal background clearance check, drug screen, physical and TB test.  
  
  
   
  
  

• Experience with behavioral health, PRTF, or residential treatment billing  


• Understanding of authorizations, eligibility verification, and coordination of benefits  


• Knowledge of multi-state Medicaid billing processes  

For more than 40 years, Rite of Passage has been committed to improving the lives of youth and helping young people become successful adults.

As a Billing and Collections Specialist, you'll contribute to the operational success of our organization while supporting a mission that creates meaningful opportunities for the youth we serve.