• Job Description

  Req#: 27755452
  Description
  
  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 heavy alcohol use and addition. Ria Health delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, targeted protocols, and a technology 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 partners with Remote Clinical and Coaching Team Members to provide clinical expertise and manage care and outcomes for Ria Health members.
  
  BILLING RESPONSIBILITIES:
  
  • Data entry of claims into our RCM platform
  • Ability to review historical claims for potential issues
  • 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
  • *Maintain HIPAA guidelines and high level of discretion due to the sensitivity of information
  • Other duties and responsibilities as directed by Manager
  
  
  JOB REQUIREMENTS:
  
  • 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
  
  
  PROVIDE CARE AMID COVID19
  
  With the COVID19 crisis, there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a center of excellence in treating alcohol misuse, Ria Health has been enlisted to rapidly provide care to people across the United States, which will require additional care team members. We seek care team members who are motivated to provide high quality, patient-centered, evidence-based care in a telemedicine setting. In the immediate term, opportunities include full-time, part-time, and contracted positions.
  
  ENJOY 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
  • Career opportunities include full-time, part-time, and on a contract basis
  • Competitive compensation
  • Telehealth training and development
  • Generous PTO policy to support work-life balance and employee well-being
  
  
  APPLY TO RIA HEALTH
  
  Ria Health invites you to apply online or by emailing your resume directly to Lauren Akins via recruitment@riahealth.com. Visit us at RIAHEALTH.COM
  
  EQUAL EMPLOYMENT OPPORTUNITY
  
  Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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 Mission:
  
  We strive to help adults who are in distress due to alcohol misuse and who are courageous
  
  enough to take steps to change their relationship with alcohol. To uphold our mission we provide compassionate high quality evidence-based care that instills dignity and encouragement. We accomplish this through our team of dedicated healthcare
  
  professionals removing barriers of stigma, time and affordability by providing our services
  
  through telehealth. We achieve our mission by helping people achieve optimal well being through changing their relationship with alcohol.
  
  Ria Health Vision:
  
  Be a sustainable business that provides accessible, effective and affordable evidence based
  
  behavioral health care to all. By building a values based culture where Rianistas are excited and engaged in doing their best quality work teaming to impact millions of lives of our members, their families and their communities.
  
  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.

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