Billing Configuration Specialist at Community Medical Services

Scottsdale, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

11 May, 26

Salary

0.0

Posted On

10 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing Configuration, Payer Contracts, System Settings Optimization, Contractual Agreement Interpretation, State Specific Billing Rules, System Configuration Expertise, Reimbursement Logic, Billing Workflows Implementation, Regulatory Standards Alignment, Kipu EMR, Documentation Maintenance, Analytical Skills, Problem-Solving Skills, HIPAA Compliance, 42 CFR Part 2 Compliance, Attention To Detail

Industry

Medical Practices

Description

Description Reporting to the Chief Financial Officer, the Billing Configuration Specialist is responsible for configuring, maintaining, and optimizing billing rules, payer contracts, and system settings within the Kipu EMR. The ability to read and understand contractual agreements as well as state specific billing rules is a must. Strong attention to detail and system configuration expertise are critical for success in this role. Along the way, we’ll invest in your well-being through a benefits package for full-time employees that includes: Subsidized medical, dental, and vision insurance Health savings account Short and long-term disability insurance Life insurance Paid sick, vacation, and holiday time 401K retirement plan with match Tuition and Continuing Medical Education reimbursement up to 100% Employee assistance program to support your mental health and wellness Ongoing professional development Requirements Key Responsibilities Configure and maintain payer contracts, billing rules, and reimbursement logic within Kipu. Maintain Contractual Billing rules going forward in a timely fashion. Implement billing workflows aligned with payer requirements, authorization rules, and regulatory standards. Support Kipu system implementations, upgrades, and enhancements related to billing and financial operations. Maintain documentation for payer rules, contract terms, and system configurations. Required Skills & Qualifications High school diploma or GED required, bachelor’s degree in related field or equivalent experience preferred Certified coder preferred 3-5 years healthcare billing system configuration, including payer rules and contract setup experience. Behavioral Health Experience preferred. Exceptional attention to detail with proven ability to manage complex system configurations accurately. Experience working with EMR/EHR systems in a billing or implementation capacity. Kipu EMR experience (highly preferred). Ability to interpret payer contracts and translate requirements into system configurations. Strong analytical and problem-solving skills. Physical Requirements & Working Conditions Prolonged sitting, standing, frequent bending, stooping, or stretching associated with an office environment Manual dexterity using a calculator and computer keyboard Frequent and prolonged typing and operation of computer, keyboard and telephones Ability to work flexible hours during critical implementation phases Ability to travel independently as needed and travel to assigned CMS sites Skills Requirements Intermediate to advanced computer knowledge, including ability to navigate in electronic health records Ability to communicate clearly and effectively between all organizational levels and with outside providers Ability to coach, train, and motivate employees and evaluate their performance General knowledge and aptitude for working independently with adults of mixed ethnic groups Culturally competent and sensitive to client and employee needs Excellent organizational skills, accuracy, and attention to detail Problem solving, conflict resolution, time management, and strong customer service skills Strong team player comfortable working in a fast-paced setting Flexible with the ability to work in a continuously changing environment Ability to work flexible hours including nights, weekends and holidays Some travel may be required during Kipu implementation Ability to maintain confidentiality to ensure compliance with HIPAA and 42 CFR, Part 2 Tool and Equipment Abilities: Frequent use of telephone, computer, printer, fax machine and copier Frequent use of the internet and various web browser software, and Microsoft Office Products, including Outlook, Word, Excel and Power Point #CRPSF About Community Medical Services Community Medical Services (CMS) is a CARF-accredited addiction treatment program providing services in the form of outpatient medication-assisted treatment and one-on-one and group counseling to those seeking help with their opioid use disorder. Headquartered in Arizona with more than 70 treatment clinics in 14 states, CMS is dedicated to meeting the challenges presented by the growing opioid epidemic in communities where treatment is lacking. Our Commitment We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Other Conditions Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Responsibilities

The Billing Configuration Specialist is responsible for configuring, maintaining, and optimizing billing rules, payer contracts, and system settings within the Kipu EMR. This includes implementing billing workflows aligned with payer requirements and supporting system enhancements related to financial operations.