Special Programs Billing Specialist

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.

The Special Programs Biller is responsible for managing the billing, payment reconciliation, data reporting, and research and resolution of billing and payment issues for custom contracts not following typical billing practices.  These programs can include Arizona Families First, grant-funded programs, and demonstration or pilot projects.  Collaborates closely with subcontractors and third parties where needed per program requirements.  Under the general supervision of the Sr, Director, Revenue Cycle, the Special Programs Biller performs the following essential duties.

• Understands and ensures adherence to the details of relevant contracts and grants, especially billable services and billing procedures 
• Creates and maintains program billing and payment policies, procedures, workflows, and related documentation
• Coordinates the day-to-day billing processes for special programs to include services reviews, coordination with third parties and various internal teams, data reviews and reconciliation
• Ensures all billing is completed timely and per contract or grant requirements
• Creates and maintains billing reports and data, to be shared with leadership and financial teams
• Identifies and executes opportunities for improvement to ensure efficient and reliable processes
• Collaborate with contract and grant authorities to resolve issues and maintain collaborative relationships
• Stay up to date on coding requirements and best practices, including attending external training and meetings to proactively develop and implement forward thinking best practices.
• Assists with other claims projects and standard billing as needed.

Benefits & Wellness

We invest in the health, well-being, and success of our employees and their families by offering comprehensive benefits, wellness resources, and opportunities to grow both personally and professionally

• Multiple medical plan options, including a no-premium plan for employees and their families
• Multiple dental plan options, including orthodontic coverage
• Vision insurance
• Group life and disability insurance
• Pet insurance

• 401(k) plan with company match
• Interest-free medical line of credit
• Financial education, planning, and support resources
• Monetary company contribution toward eligible benefits
• Bilingual pay differential

• Generous Paid Time Off (PTO) – 3 weeks off in the first year
• Paid Sick Time
• 10 paid holidays annually

• Comprehensive wellness program featuring wellness challenges, activities, and prizes
• Employee Assistance Program (EAP) available to employees and their family members
• Trip Reduction Program

• Ongoing professional growth and career development opportunities, including:
  • Scholarships
  • Clinical supervision
  • Continuing Education Units (CEUs)
  • Tuition discounts through Grand Canyon University, University of Phoenix, and Northern Arizona University (NAU)

• Access to the Working Advantage® Employee Discount Program, with savings on:
  • Gym memberships
  • Car rentals
  • Flights, hotels, movie tickets, and more

• High School diploma or equivalent.  Bachelor’s degree preferred
• 5+ years’ experience in a health care billing position
• Demonstrated knowledge of NextGen or similar HER
• Intermediate knowledge of Microsoft suite, especially excel
• Intermediate knowledge of data and financial reporting processes
• Experience interacting with cross functional partners, and external payers and stakeholders
• Strong communication skills – written and verbal. Excellent collaboration and partnership skills
• Ability to work well independently
• This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years’ driving experience or no driving experience.
• Must pass a TB test, a criminal background check and drug test

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.