Job Description
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
Abria Detox is seeking a detail-oriented Billing and Revenue Cycle Specialist to support the revenue cycle for our Withdrawal Management (245F) program. This hands-on role is responsible for insurance verification, prior authorizations, claim submission, payment posting, denial management, accounts receivable follow-up, and payer communication to ensure timely and accurate reimbursement. The Billing and Revenue Cycle Specialist will utilize the Ritten electronic health record while maintaining compliance with Minnesota DHS regulations, payer requirements, and organizational policies.
Essential Responsibilities
- Verify insurance eligibility and benefits prior to admission.
- Submit and manage initial, concurrent, and extension authorization requests.
- Track authorization expiration dates and approved units to ensure uninterrupted coverage.
- Submit, monitor, and reconcile insurance claims for Withdrawal Management services.
- Investigate and resolve rejected, denied, and underpaid claims through corrections, appeals, and payer follow-up.
- Monitor accounts receivable and follow up on outstanding insurance balances.
- Post insurance payments, contractual adjustments, and payment corrections accurately.
- Audit claims for coding, documentation, and service line accuracy prior to submission.
- Communicate with insurance companies regarding authorizations, claims, payment status, and appeals.
- Collaborate with admissions, nursing, and clinical staff to obtain documentation supporting medical necessity and reimbursement.
- Monitor payer updates and maintain current knowledge of payer requirements and reimbursement guidelines.
- Identify revenue cycle trends and recommend process improvements to reduce denials and improve cash flow.
- Participate in internal and external billing audits while ensuring compliance with HIPAA, Minnesota DHS regulations, and organizational policies.
Qualifications
- High school diploma or equivalent required; associate's degree preferred.
- Minimum of two years of behavioral health or substance use disorder treatment billing experience.
- Experience with Ritten, or similar electronic health record/billing systems, preferred.
- Knowledge of Minnesota Medicaid (MHCP), commercial insurance billing, authorizations, and DAANES reporting preferred.
- Strong organizational, communication, and problem-solving skills with exceptional attention to detail.
Work Location: This is a fully remote position. Employees must maintain a reliable internet connection and a private, HIPAA-compliant workspace. Attendance at one mandatory Microsoft Teams meeting each month is required.
Flexible work from home options available.
Compensation: $20.00 - $28.00 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Numbers & Facts
| Location | Burnsville, Minnesota (Remote) |
| Industry | Management Consulting Services |
| Salary | $20–$28 Per Hour |
| Company Size | 10,000 employees or more |
| Website | https://jobs.adp.com/life-at-adp/ |
About Company
ADP powers the working world with comprehensive solutions that drive business success. Consistently named one of the "Most Admired Companies" by FORTUNE® Magazine, and recognized by Forbes® as one of "The World's Most Innovative Companies," ADP has over a half-million clients around the globe and 65 years of experience as one of the largest providers of human capital management solutions world-wide.
At ADP, we believe that diversity fuels innovation. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, non-job related physical or mental disability, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.
Skills
- Accounts Receivableunmatched
- Behavioral Healthunmatched
- Billingunmatched
- Billing Recordsunmatched
- Cash Flowunmatched
- Claims Managementunmatched
- Clinical Nursingunmatched
- Communication Skillsunmatched
- Dental Insuranceunmatched
- Detail Orientedunmatched
- Documentationunmatched
- External Auditunmatched
- HIPAA (Health Insurance Portability and Accountability Act)unmatched
- Health Insuranceunmatched
- High School Diplomaunmatched
- Homeland Securityunmatched
- Insuranceunmatched
- Insurance Claimsunmatched
- Internal Auditunmatched
- Maintain Complianceunmatched
- Medicaidunmatched
- Medical Record Systemunmatched
- Microsoft Product Familyunmatched
- Organizational Skillsunmatched
- Payment Postingunmatched
- Problem Solving Skillsunmatched
- Process Improvementunmatched
- Record Keepingunmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Reimbursementunmatched
- Reimbursement Guidelinesunmatched
- Support Documentationunmatched
- Time Managementunmatched
- Trend Analysisunmatched
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