D201 - Billing Specialist

Billing Specialist  River Edge Behavioral Health is recognized for its state-of-the-art treatment and support services for more than 13,000 children, youth, families, and adults annually who experience mental illness, addiction, co-occurring disorders, and substance abuse problems.  In addition, River Edge offers services for individuals with intellectual and developmental disabilities.    Benefits Offered:  Competitive Pay  Medical, Dental, Vision Insurance  Paid Time Off  12 Paid Holidays  401k with an employer match  Flexible Spending Accounts  Short and Long-term disability coverage  Life Insurance  Employee Discount Program    Location: 175 Emery Highway, Macon, GA 31217    Schedule: Monday-Friday 8:30am-5:00pm    Responsibilities:  Accurately post payments to individual accounts in electronic medical record within one week of receipt of payment.   Make necessary changes to denied claims and resubmit for payment or accurately post denial to individual accounts into electronic medical record as an uncollectible claim within two weeks of notification of denial.   Prepare reconciliation report of payments by program within one week of receipt of payment.   Batch/submit Medicare, Medicaid, State Contracted Services and Care Management Organization claims weekly.   Import 835 payments files from payers weekly.   Help and support clerical and clinical staff, related to billing and insurance resolution.    Qualifications Needed (education and/or experience):  High School Diploma or GED.   2-3 years knowledge and experience of Commercial Insurance, Medicare, and Medicaid programs billing and payment processing.   Knowledge of CPT and ICD- 10   Knowledge of Carelogic and or electronic medical records.   Preferred Qualifications: Medical billing and coding diploma/certification.  Experience with 835 payment processing and 837-batch submission.   Proficient in Microsoft Office, Problem-solving skills, Strong Customer Service background.   Ability to work in fast-paced work environment, Strong organizational skill.    Additional Information:  The Application Process  All qualified applicants will be considered.  This position is subject to close once a satisfactory candidate pool has been identified.  The hiring managers will contact only those selected for an interview.   Applicants who are not selected will receive notification via email.    Diversity and Inclusion  River Edge Behavioral Health is committed to creating a diverse and inclusive work environment and is proud to be an equal employment opportunity employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, nationality, genetic make-up, disability, age, or veteran status.    Drug-Free Workplace  River Edge Behavioral Health is a drug-free workplace with a longstanding commitment to providing a safe, quality-oriented, and productive work environment. In compliance with the Drug-Free Workplace Act of 1998, all applicants must pass a satisfactory background clearance and pre-employment drug screen.    At Will Workplace  Employment with River Edge Behavioral Health is at will. At-will means your employment relationship with River Edge Behavioral Health or Affordable Business Solution is for an indefinite period and is subject to termination by you or River Edge Behavioral Health, with or without cause, with or without notice, and at any time.    River Edge Behavioral Health is an Equal Opportunity Employer: River Edge Behavioral Heath recruits qualified candidates for positions in its service area. It is the policy of River Edge Behavioral Health provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination or harassment of any type without regard to race, color, sex, religion, national origin, age, disability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.