Family Ties Enterprises, Inc. provides behavioral health and community-based services to children and families across Georgia. The revenue cycle management team supports that mission by securing authorizations, submitting accurate claims, and collecting timely reimbursement.
This role focuses on insurance eligibility, coordination of benefits, claim denials, payer follow-up, and payment resolution. It is a hands-on revenue cycle position that requires investigation, problem-solving, documentation, and escalation of complex issues when needed.
You will work closely with intake, clinical staff, authorizations, credentialing, billing team members, and insurance payers to prevent avoidable denials and move outstanding claims toward payment.
Minimum Qualifications
- High school diploma or equivalent
- 1 to 3 years of experience in healthcare billing, insurance verification, claims processing, denial management, or a related revenue cycle function
- Working knowledge of insurance eligibility, Medicaid/CMO, commercial insurance, coordination of benefits, authorizations, and claim denials/rejections
- Strong attention to detail and accuracy
- Ability to manage competing priorities and payer deadlines
- Strong problem-solving and follow-through
- Professional written and verbal communication skills
- Proficiency in Microsoft Office, especially Excel
Preferred Experience
- Experience with GAMMIS, Availity, and similar payer portals
- Experience with an EHR or billing system
- Georgia Medicaid behavioral health billing experience
- Experience with Georgia Medicaid CMOs
- Experience with DBHDD-funded behavioral health services
- Experience with CMS-1500 claims
- Experience with electronic and paper claim submission
- Experience with Medicaid/CMO authorization and utilization management
- Associate degree or relevant coursework in healthcare administration, business, or medical billing preferred
Benefits and Perks
- 401(k)
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Referral program
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$40,000 - $45,000
Remote work allowed
Yes
Posted
1 month ago