Behavioral Health Billing & Eligibility Specialist

Family Ties Enterprises, Inc.; Atlanta (GA); Hybrid; USD 40,000 - 45,000; Full time

Benefits offered by this job

401(k)

Health Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Referral Program

Job summary

Family Ties Enterprises, Inc. is seeking a Billing Assistant for Eligibility & Denials in Sandy Springs, GA. The hybrid, full-time role focuses on verifying eligibility, resolving denials, and following up with payers to move claims toward payment.

This position supports the Revenue Cycle team and works with intake, clinical staff, and payers to prevent avoidable denials and ensure timely reimbursement.

Qualifications

• High school diploma or equivalent.
• 1–3 years in healthcare billing or denial management.
• Experience with Medicaid/CMO and commercial insurance.
• Knowledge of eligibility, COB, authorizations, and denials processes.
• Proficiency in Microsoft Office, especially Excel.

Responsibilities

• Verify eligibility across Medicaid, CMO, commercial plans and other payers.
• Research COB issues to identify primary payer.
• Document eligibility findings accurately in payer systems.
• Review, correct, and resubmit denied or unpaid claims.
• Track denials from identification to resolution and escalate when needed.
• Collaborate with Intake, clinical, and billing teams to prevent denials.

Skills

Insurance eligibility

Medicaid/CMO

Commercial insurance

Coordination of benefits

Authorizations

Denials management

Billing accuracy

Payer deadlines

Microsoft Excel

Education

Associate degree in healthcare administration

Tools

GAMMIS

Availity

payer portals

EHR / Billing system

Job description

Family Ties Enterprises, Inc. is seeking a Billing Assistant for Eligibility & Denials in Sandy Springs, GA. The hybrid, full-time role focuses on verifying eligibility, resolving denials, and following up with payers to move claims toward payment.

This position supports the Revenue Cycle team and works with intake, clinical staff, and payers to prevent avoidable denials and ensure timely reimbursement.