Financial Case Manager
About The 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.
Requirements
- Minimum high school diploma.
- Familiar with community resources and proficient in providing, discussing, and resolving financial issues and policies.
Nice To Haves
- Bachelors’ Degree in health-related field, Finance/Accounting or Medical Management office experience preferred.
- Minimum one- or two-years’ experience, preferred experience in the medical, behavioral healthcare or financial field.
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.
Benefits
- Health Insurance
- Vision Insurance
- Dental Insurance
- Life Insurance
- Telemedicine MDLive
- Matching HSA - up to $1500 a year contribution from the company to your HSA
- Employee Referral Bonus you can earn up to $4,000
- Travel Concierge
- LifeMart Employee Discounts
- Health Advocate
- EAP Program
- Discounted meal benefits
- Paid Time Off: Up to 2 weeks of paid time off per year plus sick pay & holiday pay
- Retirement: 401K + match
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
