Job Description

ABOUT RIA HEALTH

Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity.  Our existing investors SV Health, BPEA and SOSV also participated in the Series B.  Ria Health will enable patients to achieve long term success in reducing or eliminating  their alcohol consumption, and live healthier and happier lives. We are seeking a Staff Accountant to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC.  The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum,  Beacon Health Options, Highmark Health, and Magellan Health.

JOIN THE RIA HEALTH TEAM!

Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.

WORK AT RIA HEALTH AS A VERIFICATIONS SPECIALIST

Ria Health is seeking a Verifications Specialist. This person will report to the Verifications Coordinator and complete insurance verification requests from the Enrollment Specialists. This person will also help to build processes around the insurance workflows and communicate with other departments as needed. The Verifications Specialist will also be trained as an Enrollment Specialist for when the call volume spikes and extra help is needed, and work closely with the Enrollment Team Leads. 

This is a part-time, hybrid position with a Monday–Friday schedule from 2:00 PM to 8:00 PM. The role requires in-office presence on Wednesdays at our Round Rock, Texas location. This position is not eligible for benefits. 

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

• Verify insurance information for new patients and referrals

• Update insurance information and charts in Ria’s EMR

• Call to obtain eligibility and benefit estimates for recommended services and procedures

• Document financial responsibilities in the system

• Answer questions related to billing and insurance

• Point of contact for the Enrollment Center Team regarding insurance eligibility 

• Help with Enrollment Team with prospect calls when the volume spikes and help is needed 

• Be available to get insurance verifications live for the Enrollment Team during business hours when an inbound call comes in and it is needed.

GOALS:

• Keeps track of insurance data and reports trends to Management 

• Collaborate and integrate new payers and clients 

• Communicate and collaborate cross functionally with Revenue Cycle, Member Service, and Commercial Team

• Collaborate with the Development Team for Insurance Verifications system improvements  

Requirements: Education and Experience

• Ability to quickly build rapport and trust with potential patients through conference call assessment and program education

• 1-3 years experience in customer service, healthcare/patient care, customer engagement, potential customer and/or program evaluation or enrollment, or in the general care of  support of helping people to improve their quality of life

• Familiarity with addiction treatment programs from community meetings to rehab is preferred

• Polished and professional in delivery/communicator: Active listener, excellent verbal and written communication skills

• Experience working with various computer applications/ tech savvy preferred

• Flexible, naturally curious in the discovery of solutions to current company challenges, interests in tech/healthcare industry 

MAKE AN IMPACT AT A CRITICAL TIME 

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a  specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision:

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission:

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values:

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.

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