Billing and Collections Specialist

Are you detail-oriented, organized, and passionate about making a difference? Join Rite of Passage (ROP) and become part of a team dedicated to helping youth build brighter futures!

• Perform full-cycle outpatient behavioral health billing, including charge entry, claim preparation, submission, and follow-up.
• Review documentation, CPT/HCPCS codes, modifiers, authorizations, and insurance eligibility to ensure accurate billing.
• Submit electronic and manual claims to Medicaid, managed care organizations (MCOs), and commercial insurance payers.
• Post insurance and patient payments, adjustments, and reconcile payment discrepancies.
• Monitor accounts receivable aging and follow up on outstanding insurance and patient balances.
• Investigate and resolve rejected, denied, or underpaid claims, including corrections, reconsiderations, and appeals.
• Review remittance advice (RA/EOB) to identify reimbursement discrepancies and denial trends.
• Communicate with insurance payers and internal departments to resolve billing, authorization, and payment issues.
• Maintain accurate billing records and account documentation while ensuring compliance with payer requirements, company policies, and HIPAA.
• 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  
• Proficiency in Microsoft Office Suite and healthcare billing systems  
• 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.