Financial Claims Specialist

4 weeks ago


Riverdale, Georgia, United States Acadia Healthcare Full time
Key Responsibilities
  • Claims Management: Resolve outstanding claims with third-party payors, review claims issues, and make corrections as needed.
  • Claims Clearinghouse Utilization: Review and correct claims using the clearinghouse, and resubmit electronically when available.
  • Explanation of Benefits Review: Verify that claims were processed and paid correctly by reviewing explanation of benefits.
  • Adjustment Forms and Documentation: Complete adjustment forms and attach supporting documentation as needed.
  • Productivity Management: Manage daily productivity via patient accounting system and productivity reports, maintaining an average of 30-40 accounts worked per day.
  • Financial Class Management: Prorate patient accounts and monitor balance due to ensure correct financial class.
  • Reporting and Meetings: Report weekly overview to the BOD and participate in AR meetings.
  • Data Analysis and Interpretation: Gather and interpret data from systems, understand appropriate course of action, and initiate time-sensitive and strategic steps resulting in payment.
  • Team Support: Assist financial counselors as needed and alert them to benefit eligibility matters that suggest or challenge reimbursement.
Equal Opportunity Employer

Acadia Healthcare is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. The contractor will not discharge or discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.



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