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NANA Healthcare Management, LLC

Manages behavioral health treatment and support services

Medical Collections Specialist

Accounts Payable/ReceivableConfirmed live in the last 24 hours
Full-timeDoraville, GA, USA

About the Job

Requirements

  • A high school diploma or GED is required.
  • At least one year of recent experience in medical collections, insurance follow-up, medical billing, or healthcare accounts receivable is required.
  • Knowledge of Medicare, Medicaid, and commercial insurance guidelines is required.
  • Working knowledge of CPT, ICD-10-CM, HCPCS, and medical terminology is required.
  • Experience using electronic medical records and medical billing software is required.
  • Proficiency with Microsoft Office, including Excel and Outlook, is required.
  • Ability to work full-time in the Doraville office is required.
  • Ability to meet productivity goals, maintain accurate account documentation, reduce aging accounts receivable, and comply with HIPAA and payer regulations is required.
  • Ability to prioritize multiple deadlines and work independently and collaboratively is required.

Responsibilities

  • Review and manage assigned accounts receivable to identify unpaid, denied, or underpaid insurance claims.
  • Contact commercial insurance carriers, Medicare, Medicaid, and other third-party payers regarding claim status.
  • Investigate claim denials and determine appropriate corrective actions.
  • Submit corrected claims, appeals, reconsiderations, and supporting documentation when necessary.
  • Follow up on outstanding claims according to payer guidelines and company standards.
  • Verify payments, contractual adjustments, write-offs, and reimbursement accuracy.
  • Maintain detailed and accurate account documentation within the billing system.
  • Work aging reports to meet collection and productivity goals.
  • Collaborate with Billing, Appeals, Payment Posting, and other internal departments to resolve claim issues.
  • Identify denial trends and communicate recurring issues to leadership.
  • Maintain HIPAA compliance and adhere to federal, state, and payer regulations.
  • Participate in departmental meetings, training, and continuous process-improvement initiatives.
  • Contribute to improving billing and collection processes.

Desired Qualifications

  • An associate degree is preferred.
  • Experience with behavioral health, mental health, or substance abuse billing is preferred.
  • Experience with CollaborateMD, Kipu EMR, and Availity is highly preferred.

About the Company

NANA Healthcare Management, LLC

Manages behavioral health treatment and support services

NANA Healthcare Management manages behavioral health treatment programs and related healthcare businesses in Georgia. Its treatment-center network coordinates adult and adolescent mental health and substance use care through residential, day-treatment and outpatient programs. Clinical teams assess each client, build a treatment plan and combine counseling, medication management and structured support as needs change. Management and medical billing teams support facility operations and work with providers and insurers on reimbursement for care. The company is headquartered in Dunwoody, Georgia, where its programs and administrative functions support the wider treatment network.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Dunwoody, GA
Founded
Not listed

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