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  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.

Required Experience and Qualifications:

• High School diploma for GED required.
  • Associates/Bachelors Preferred.
  • Experience in specific job function may be substituted for education.
• MINIMUM of three (3) years of healthcare collections experience (hospitals, medical centers, doctor's offices, etc).
  • Collectons experience in mental health or substance abuse HIGHLY desired.
• Lean Six Sigma, Kaizen or other Lean Process Management experience a plus.
• Medicare/Medicaid experience preferred.
• CPC, CPAT, or CPAM preferred
• The ability to read and understand insurance contracts.
• The ability to put together and work on Special Projects as assigned.

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