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Ridgeview Institute - Smyrna · 9 hours ago

Insurance Collections Specialist

Smyrna, GA

Full-time

Onsite

New Grad, Entry Level

$20/hr - $24/hr

Ridgeview Institute is seeking a Revenue Cycle Analyst to join their team. The role involves managing the business office functions, including contacting payors for unpaid claims, denial management, and collaborating with other departments to ensure timely account resolution.

Health CareMental Health

Responsibilities

Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner

Submit account corrections and adjustments

Denial management

Payment variance management

Appeal submissions when required

Works with management to identify trends and address root causes of issues in the A/R

Collaboration with other team members and departments

Communication to ensure account resolution occurs within a timely manner

Qualification

Payor rulesRead UB04 formsRead EOBAccount resolution actionsVerify benefitsUnderstand payor contractsCommunicationOrganizational skillsTime management

Required

Understanding of third-party payor rules and regulations

Ability to read UB04 forms

Able to read and understand an EOB

Can take the necessary action for account resolution in accordance with established federal and state regulations

Can verify benefits via online portal or over the phone

Understand payor contracts and can verify the insurance company has paid correctly

Ability to identify next steps required when a claim has been denied/rejected

Excellent communication is needed to document accounts accurately

Strong organizational and communication skills

Strong ability to prioritize and efficiently manage time

Company

Ridgeview Institute - Smyrna

Georgia’s first choice in mental health and addiction treatment for over 40 years! Ridgeview has two locations in Atlanta, GA, where patients and their families can find specialized, high-quality behavioral health and addiction treatment.

Founded in 1976