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Advanced Recovery Systems, LLC · 2 days ago

Financial Case Manager

Township of Cherry Hill, NJ

Full-time

Onsite

Entry 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. The Financial Case Manager's primary responsibility is to provide financial counseling to patients and families, ensuring compliance with State and Federal guidelines while supporting case management functions.

Health CareMedicalMental Health

Responsibilities

Serve as the primary financial counselor for patients, providing education on insurance benefits, financial responsibility, billing policies, and payment options

Verify and validate patient insurance benefits and financial responsibility by first reviewing the UR Daily Census column to assess the daily status of insurance coverage, followed by checks in approved payer portals (e.g., InstaMed, NaviNet, Availity, or other designated systems), and conducting live payor calls as needed for inactive, unclear, or unresolved coverage

Collect private pay fees, co-pays, and insurance deductibles within 72 hours of admission for inpatient and outpatient clients, in accordance with the 'Collection of Patient Responsibility' policy

Ensure completion and signature of all required financial and admission-related documentation within 72 hours of admission, including but not limited to billing acknowledgments, payment plans, advance repayment agreements, coordination of benefits, authorized claims representative forms, and the initial Case Management Discharge Plan (CMDP)

Facilitate payment arrangements and advance repayment agreements when co-pays or deductibles are not immediately collectible and notify leadership as needed

Collaborate with the Admissions/RCM team to resolve collection barriers and secure (at minimum) agreed-upon payments at the time of admission

Maintain accurate, timely documentation of all financial transactions, co-pay and deductible activity, and payment arrangements within the electronic medical record

Work closely with Facility Leadership (Site CEO) and Aftercare Manager to ensure consistent financial processes and patient support

Maintain open communication with the multidisciplinary treatment team regarding financial considerations that may impact treatment engagement or discharge planning

Qualification

Financial counselingInsurance benefit educationBilling policiesMedical Management experienceBehavioral healthcare experienceCommunication skillsProblem-solving skillsTeam collaboration