Claims and Reimbursement Specialist - Riverwood Center : Job Details

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 Somos un empleador con igualdad de oportunidades y todos los candidatos calificados recibirán consideración por el empleo sin distinción de raza, color, religión, sexo, origen nacional, estado de discapacidad, estado de veterano protegido o cualquier otra característica protegida por la ley. Riverwood Center Riverwood Center has been serving members of our community since 1975. We provide a wide array of services to children, families and individuals with mental illness, intellectual & developmental disabilities and substance use disorders. At Riverwood, we are a team of caring professionals focused on improving the lives of those we serve and building a stronger community. We offer personalized behavioral health services striving to make sure every person has an exceptional experience. Riverwood Center conducts business as a division of Berrien Mental Health Authority and we have staff located 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. Página Web de la Compañía: