Claims and Reimbursement Specialist

At Riverwood Center we have a team of caring and committed professionals providing a wide array of personalized services to individuals with behavioral health, intellectual & developmental disabilities and substance use disorders. Riverwood Center is located in beautiful Southwest Michigan with staff at seven sites across Berrien County. We are accredited by the Commission on Accreditation of Rehabilitation Facilities and a member of Southwest Michigan Behavioral Health, Michigan Association of Community Mental Health Boards, and the National Council for Behavioral Health.

 

Benefits:

·        Fourteen (14) Holidays

·        Twenty (20) PTO Days

·        Defined Benefit Pension

·        Outstanding Health, Vision & Dental Insurance

·        Life Insurance

·        Short- and Long-Term Disability

·        Flexible Spending

·        Strong Work/Life Balance

·        Employee Assistance Program

·        Generous Continuing Education

·        YMCA 360

·        Flexible work schedules

·        Full administrative support

 

Responsibilities:

·        Responsible for claims processing and benefit rate verification

·        Assists external providers, performs data entry and verification, and balances claims reports

·        Works closely with internal staff and external providers

 

Qualifications:

·        Associate degree or 5 or more years of equivalent experience

·        Experience processing/billing medical claims or have worked in an accounting/reimbursement position

·        Experience in a Managed Care environment preferred

·        Must be detail oriented, possess advanced computer skills, have excellent communication skills and be customer focused.

·        Demonstrated advanced analytical, problem solving and critical thinking skills a must

·        Requires the ability to manage multiple projects simultaneously to meet required deadlines