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Advanced Recovery Systems, LLC · 15 hours ago

Financial Case Manager

Ridgefield, WA

Full-time

Onsite

Entry, Mid Level

$23/hr - $23/hr

1+ years exp

Advanced Recovery Systems, LLC is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. They are seeking a Financial Case Manager to provide comprehensive support to clients, ensuring compliance with guidelines and developing individualized aftercare plans. This role involves collaboration with treatment teams and facility leadership to address financial assistance and ongoing care needs.

Health CareMedicalMental Health

Responsibilities

Maintain open communication and collaboration with the multidisciplinary treatment team to address aftercare and discharge planning needs

Develop individualized aftercare appointments by collaborating with patients

Ensure follow-up appointments are made within 7 days of discharge from our facility with a behavioral health provider

If a patient is on MAT, be sure the patient has an appointment with a MAT provider after discharge

Coordinate directly with referents and payors to ensure continued care needs are met

Collect Co-pays, Deductibles, and private pay fees within 24 hours of the client's admission

Assist patients in staying focused on their treatment by addressing employer and legal needs

Conduct weekly discharge needs assessments and develop individualized aftercare plans

Be able to assist in validating patients' benefits and financial responsibility using online applications such as InstaMed, Navient, and Availity, or other relevant applications

Follow the outlined procedures for the 'Collection of Patient Responsibility.'

Demonstrate a thorough knowledge and understanding of collection policies and procedures, specifically related to Co-pays, Insurance Deductibles, setting up payment plans, and upfront private pay payments for patients

Assist client with COBRA election while obtaining confirmation of payment

Collaborate with the Admission Team to find solutions and collect owed funds

Ensure clients sign the 'Coordination of Benefits', 'Authorized Claims Representative', 'Payment Plan/Agreement', 'Financial Checklist', other necessary consents, and complete the first CMDP within 72 hours of admission

Facilitate the completion of an 'Advance Repayment Agreement' for any uncollectable Co-pays or Deductibles