Collection Specialist (Remote)

Naples, FL
United States

Category
Experience Required
Yes
Degree Required
Yes
Employment Type
Full-Time
Work Schedule
Full-Time

Job Description

Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns.

With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care.

Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men, women and adolescents live healthy, happy lives without the burden of substance abuse or mental illness.

Responsibilities

Responds timely to denied claims, pulling all required documents together and provider the payer with all information necessary to overturn the denied claim(s).

  • Perform weekly and monthly routine reviews of audit conducted by the team auditor.
  • Calls patients when insurance checks are sent directly to the patient to obtain payment as well as answering any specific questions post treatment.
  • Work closely with the AR Auditor, and designated appeal specialist to gather the clinical documentation to conclude a proper medical review and appeal.
  • Respond timely to insurance request for additional information.
  • Call insurances timely in accordance with PFS collection reports. Request rebills as needed.
  • Identify denial trends, and additional process improvement opportunities that can aid revenue cycle operations.
  • Document properly all active; calls, faxes, rebills, etc. in follow- up documentation within the EMR.
  • Attend denial meetings, and payer meetings as needed.
  • Apply standard improvement processes and follow-up through (PDCA) Plan, Do, Check and Act.
  • Perform other related duties incidental to the work described herein.
  • Maintain strictest confidentiality; adheres to all HIPAA guidelines and regulations.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks.
  • Participates in professional societies.
  • Follows all state regulations for development regarding professional license.
  • Excellent computer skills and record keeping skills.
  • Ability to work as part of a multidisciplinary team.
  • Ability to communicate accurately and concisely, written and oral.
  • Excellent interpersonal and telephone skills.
  • Other Duties as assigned.

Qualifications

  • Associates Degree, Bachelors Preferred. Experience in specific job function maybe substituted for education.
  • Three + years of experience in medical business matters at an Acute Level Organization, or Physician practice.
  • Lean Six Sigma, Kaizen or other Lean Process Management experience a preferred asset.
  • CPC, CPAT, or CPAM preferred but not required.

#CB

We offer great benefits including 401(k), paid time off plan, medical, dental, vision, and much more.

Advanced Recovery Systems, a national integrated behavior healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We invite you to learn more about us at our website!

The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices/EEO

We are proud to be a drug-free workplace

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