Billing Specialist- Hybrid in CT

Job Description

Job Description

ABOUT RIA HEALTH

Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity. Our existing investors SV Health, BPEA and SOSV also participated in the Series B. Ria Health will enable patients to achieve long term success in reducing or eliminating their alcohol consumption, and live healthier and happier lives. We are seeking a Billing Specialist to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health.

JOIN THE RIA HEALTH TEAM!

Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

Basic knowledge of how to perform timely insurance benefit verifications to determine eligibility and cost-share amount for new and existing patients.

Basic knowledge on how to submit prior authorization requests to insurance carriers.

Obtains and tracks authorizations as required by payers.

Understand payer contract and billing requirements.

Experience in data entry of healthcare claims.

Regularly review contract terms and conditions to confirm billing accuracy.

Proficient computer skills to navigate quickly through our practice software system.

Assess patient balances to ensure accurate billing and provide follow-up on patient balances.

Other duties and responsibilities as directed by the Manager.

• Maintain HIPAA guidelines and high level of discretion due to the sensitivity of information.

Acknowledgment that work may involve working with Protected Healthcare Information and agree to abide by all company policies and procedures for keeping that information secure and private.

Agree to work within the policies and procedures of Ria Health, including the Information Security, Acceptable Use, Remote Work / Teleworking, and the Monitoring and Recording policies. Violation of company policies may be grounds for discipline, up to and including termination.

Perform other related duties as assigned to support departmental goals and organizational priorities.

Required skills and experience :

Associates degree or equivalent experience preferred

AthenNet experience required

2+ years of experience in the medical billing field

Familiarity with medical terminology and billing processes / principles

Familiarity with medical policies and payer contracts preferred

Maintain integrity and tenacity while working accounts

Ability to identify, understand, and escalate potential issues

Ability to collaborate with key internal and external teams

Ability to solve problems and set priorities

Ability to work independently with minimal supervision

Must be organized and self-motivated

Attention to detail and ability to multitask

Exceptional written and verbal communication skills with internal and external customers.

Make an impact at a critical time

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.

ENJOY MANY RIA HEALTH BENEFITS

Join a team of Mission-driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction

Experience professional growth within a rapidly expanding tech-healthcare company

Upward professional mobility

Direction / Coaching / Mentorship from a highly experienced leadership team

Competitive compensation

Telehealth training and development

Generous PTO policy to support work-life balance and employee well-being.

This position is hybrid, with in-office days varying and determined in coordination with your manager

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.