Financial Case Manager at Advanced Recovery Systems
Palmer Lake, CO 80133, USA -
Full Time


Start Date

Immediate

Expiry Date

05 Feb, 25

Salary

23.0

Posted On

31 Jan, 25

Experience

0 year(s) or above

Remote Job

No

Telecommute

No

Sponsor Visa

No

Skills

Good communication skills

Industry

Hospital/Health Care

Description

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
Responsibilities
  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.

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.
Loading...