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Advanced Recovery Systems, LLC · 15 hours ago

Remote AR Collections Specialist - Mental Health and Addiction Focused

United States

Full-time

Remote

Mid Level

$21/hr - $23/hr

3+ 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. The AR Collections Specialist will manage claims, address billing issues, and ensure compliance with regulations while working remotely.

Health CareMedicalMental Health

Responsibilities

Ability to work virtually in a remote capacity, adhering to set working schedule with periodic contact with management throughout the day via phone or via teams

Daily auditing of active and non-active clients to ensure proper program, authorization, diagnosis, and revenue elements have been captured

Communicating with department and hospital staff to address any issues related to billing and the accuracy of charge capture, insurance, authorization and billing

Addressing all rejected claims, merging, editing and ensuring proper filing is done in accordance with ARS' billing rules

Ensuring all worklists assigned by management are up to date and compliant in terms of productivity and accuracy

Updating EMR and patient accounts when required, and opening IT tickets to address any issues that may cause delay in billing

Following up post submission for any third-party billing to ensure claim(s) are on file and set to pay

Resolving claims issues in which the payer has rejected the claim; by filing corrective claims, filing claim level appeals, providing additional information to the payer to support the claim, or advancing the claim(s) to the next level - UR appeal and/or Management

Documenting actions throughout the claim life cycle by entering notes within Avatar, Waystar, and BB Tech (Tool Kit)

Identify claim rejection and denial trends, and bringing those trends to the attention of management

Attend AR meeting as needed and conducted by your management team

Apply standard improvement processes, follow-through (PDCA); Plan, Do, Check and Action

Maintain strict confidentiality, adhere to Part2 regulations and HIPAA guidelines

Follow all state regulations and adhere to all company policies and procedures

Other duties as assigned

Qualification

Medical billing experienceHIPAALean Six SigmaCPC certificationActive listeningCritical thinkingInterpersonal skillsWritten communication

Required

Must live in the US in EST and reside in the Eastern (ET) or Central Time (CT) Zone

Minimum of 3 years of experience in medical business matters at an Acute Hospital Organization, Physician practice, Behavioral Health Facility, or Medical Billing Company

This role requires the employee to utilize their own personal computer, meeting expectations of the company's software and virus security standards

Windows 11 w/ latest Windows update installed. (Chromebooks and Apple computers are not compatible.)

an 'up to date' antivirus software

State & Federal Statutes Regarding Patient Confidentiality laws; Drug-Free Workplace Policies; Workplace Violence; Corporate Integrity& Compliance Program

Customer and Personal Service; Mathematics; Education and Training; Clerical; Computers and Electronics; Reporting

Active listening, Speaking, Coordination, Social Perceptiveness, Critical Thinking, Judgment and Decision Making, Monitoring, Reading Comprehension

Deductive Reasoning, Inductive Reasoning, Written and Oral Expression, Problem Sensitivity, Written and Oral Comprehension, Speech Clarity and Recognition

Ability to work as part of a multidisciplinary team

Ability to communicate accurately and concisely, written and oral

Excellent interpersonal and telephone skills

Effective financial assistance in charge, billing capture and collection efforts to clients in treatment or transitioned/discharged