Accounts Receivable Specialist

We are seeking FULL-TIME A/R Specialist to join our Revenue Cycle Management team!!

This is a remote position with work hours of 9:00 am to 5:00 pm Eastern Standard Time

Pay rate is $21 to $23 per hour

Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders 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, women, and adolescents live healthy, happy lives without the burden of substance abuse or mental illness.

The AR Specialist will be required to complete Audits, Compiles and Create Claims for submission. Responds timely to address up front and backend rejections, working each claim billed until payment is received or deemed uncollectable.

• 1. 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.
  2. Daily auditing of active and non-active clients to ensure proper program, authorization, diagnosis, and revenue elements have been captured.
  3. Compiling and posting charges to client ledgers ensuring all revenue has been captured for billing cycles.
  4. Communicating with department and hospital staff to address any issues related to billing and the accuracy of charge capture, insurance, authorization and billing.
  5. Addressing all rejected claims, merging, editing and ensuring proper filing is done in accordance with ARS’ billing rules.
  6. Ensuring all worklists assigned by management are up to date and compliant in terms of productivity and accuracy.
  7. Updating EMR and patient accounts when required, and opening IT tickets to address any issues that may cause delay in billing.
  8. Following up post submission for any third-party billing to ensure claim(s) are on file and set to pay.
  9. 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.
  10. Documenting actions throughout the claim life cycle by entering notes within Avatar, Waystar, and BB Tech (Tool Kit).
  11. Identify claim rejection and denial trends, and bringing those trends to the attention of management.
  12. Attend AR meeting as needed and conducted by your management team.
  13. Apply standard improvement processes, follow-through (PDCA); Plan, Do, Check and Action.
  14. Maintain strict confidentiality, adhere to Part2 regulations and HIPAA guidelines.
  15. Follow all state regulations and adhere to all company policies and procedures.
  16. Other duties as assigned.

Required Experience and Qualifications: 

• Three + years of experience in medical business matters at an Acute Hospital Organization, Physician practice, Behavioral Health Facility, or Billing Company.
• Lean Six Sigma, Kaizen or other Lean Process Management experience a preferred asset, but not mandatory.
• CPC, CPAT, or CPAM preferred but not required.
• Associates Degree Preferred.
• High School and GED required.

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, 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

We are proud to be a drug-free workplace