Analysis Skills, Background Investigation, Behavioral Health, Billing, Claims Processing, Communication Skills, Corporate Policies, Credit and Collections, Customer Support/Service, Denials Management, Documentation, Establish Priorities, Financial Trend Analysis, Football, HIPAA (Health Insurance Portability and Accountability Act), High School Diploma, Insurance, Insurance Claims, Leadership, Maintain Compliance, Managed Care, Medicaid, Medical Billing, Microsoft Office, Organizational Skills, Problem Solving Skills, Reconciliation, Reimbursement, Time Management, Utilization Management
Collections Specialist
Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Collections Specialist at Canyon State Academy in Queen Creek, Arizona. Canyon State Academy is located on a scenic 180-acre campus surrounded by Farm student housing for 300+ youth, a Thrift Store, Cafe, Barbershop and Church open to the community incorporating life skills for our students. Along with a fully equipped weight room, football stadium, an athletic center (gymnasium, padded wrestling room & more).
Perks & Benefits: Medical, Dental, Vision and company paid Life Insurance within 90 days, and 401k match of up to 6% after 1 year of employment, Paid Time Off that can be used as soon as it accrues and more!
Essential Duties and Responsibilities Responsibilities include, but are not limited to:
- Follow up on outstanding insurance and patient balances to secure timely payment
- Investigate and resolve denied, rejected, or underpaid claims with Medicaid, managed care organizations (MCOs), and commercial insurance payers
- Review remittance advice (RA/EOB) and identify payment discrepancies or trends
- Submit claim corrections, reconsiderations, appeals, and supporting documentation as needed
- Maintain accurate documentation of account activity within billing systems
- Work aging reports and prioritize accounts based on timely filing limits and reimbursement impact
- Communicate with insurance representatives regarding claim status, authorization issues, and payment resolution
- Collaborate with admissions, utilization review, credentialing, and billing teams to resolve claims issues
- Identify recurring billing or authorization issues and escalate trends to leadership
- Ensure compliance with payer guidelines, company policies, HIPAA, and confidentiality standards
- Assist with patient account inquiries and payment arrangements as needed
- Maintain productivity and collection goals established by the organization
Qualifications
- 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
- Proficiency in Microsoft Office Suite and healthcare billing systems
- Ability to pass a criminal background clearance check, drug screen, physical and TB test.
Preferred Skills
- 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
*Schedule subject to change based on the need of the program*
After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Collections Specialist you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment.