What are the responsibilities and job description for the Financial Case Manager position at Advanced Recovery Systems?
Overview:
Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns.
Responsibilities:
Works effectively with the facility leadership team to ensure success of the facility by completing the following:
Core Job Duties:
1. Maintain open communication and collaboration with the multidisciplinary treatment team to address
aftercare and discharge planning needs.
2. Develop individualized aftercare appointments by collaborating with patients.
3. Ensure follow-up appointments are made within 7 days of discharge from our facility with a behavioral
health provider.
4. If a patient is on MAT, be sure the patient has an appointment with a MAT provider after discharge.
5. Coordinate directly with referents and payors to ensure continued care needs are met.
6. Collect Co-pays, Deductibles, and private pay fees within 24 hours of the client's admission.
7. Assist patients in staying focused on their treatment by addressing employer and legal needs.
8. Conduct weekly discharge needs assessments and develop individualized aftercare plans.
9. Be able to assist in validating patients' benefits and financial responsibility using online applications such as
InstaMed, Navient, and Availity, or other relevant applications.
10. Follow the outlined procedures for the "Collection of Patient Responsibility."
11. 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.
12. Assist client with COBRA election while obtaining confirmation of payment.
13. Collaborate with the Admission Team to find solutions and collect owed funds.
14. 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.
15. Facilitate the completion of an "Advance Repayment Agreement" for any uncollectable Co-pays or
Deductibles.
We're looking for a passionate Full-Time Financial Case Manager in our Ridgefield facility.
Monday - Friday 8:30am - 5:00pm (Not a Remote Position)
Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, 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 and women live healthy, happy lives without the burden of substance abuse or mental illness.
Responsibilities:
The Financial Case Manager is responsible for a multifaceted role, providing comprehensive support to clients. They ensure compliance with State and Federal guidelines, conduct weekly discharge needs assessments, and develop individualized aftercare plans, including making appointments for ongoing care and coordinating continued care needs with referents and payors. This role involves collaborating with the treatment team to align aftercare plans and assisting clients with employer and legal concerns. Additionally, the Financial Case Manager works closely with Facility Leadership to offer timely financial assistance, addressing insurance inquiries and collecting Copays/Deductibles as per Admission Department directives for each admission.
Works effectively with the facility leadership team to ensure success of the facility by completing the following:
Core Job Duties:
1. Maintain open communication and collaboration with the multidisciplinary treatment team to address
aftercare and discharge planning needs.
2. Develop individualized aftercare appointments by collaborating with patients.
3. Ensure follow-up appointments are made within 7 days of discharge from our facility with a behavioral
health provider.
4. If a patient is on MAT, be sure the patient has an appointment with a MAT provider after discharge.
5. Coordinate directly with referents and payors to ensure continued care needs are met.
6. Collect Co-pays, Deductibles, and private pay fees within 24 hours of the client's admission.
7. Assist patients in staying focused on their treatment by addressing employer and legal needs.
8. Conduct weekly discharge needs assessments and develop individualized aftercare plans.
9. Be able to assist in validating patients' benefits and financial responsibility using online applications such as
InstaMed, Navient, and Availity, or other relevant applications.
10. Follow the outlined procedures for the "Collection of Patient Responsibility."
11. 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.
12. Assist client with COBRA election while obtaining confirmation of payment.
13. Collaborate with the Admission Team to find solutions and collect owed funds.
14. 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.
15. Facilitate the completion of an "Advance Repayment Agreement" for any uncollectable Co-pays or
Deductibles.
What we offer:
- Starting pay $23/hr, based on experience.
- Benefits begin on the 1st day of the month following date of hire.
- Matching HSA - up to $1500/yr contribution from the company to your HSA.
- 401(k), medical, dental, vision, and generous vacation time!
- Employee Referral Bonus - you can earn up to $4000.
Take the first step toward making a difference and saving lives.
#recoveryhotjobs
Qualifications:- Bachelors’ Degree in health-related field, Finance/Accounting or Medical Management office experience preferred. Minimum high school diploma.
- Minimum one- or two-years’ experience, preferred experience in the medical, behavioral healthcare or financial field.
- Familiar with community resources and proficient in providing, discussing, and resolving financial issues and policies.
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.