Advanced Recovery Systems operates a network of residential treatment facilities across the nation. We provide care for those overcoming substance abuse/addiction and co-occurring disorders. Learn more at our [ Link removed ] - Click here to apply to Supervisor, AR Special Projects!  

Looking for an AR Special Projects Supervisor to join our team   

Job Responsibilities: 

This position will play an active role in the Revenue Cycle Department by successfully performing analysis of variances for contract rule validation, tracking, resolution and collection of underpayments and denials. The role is responsible for creating, preparing, and submitting to Revenue Cycle Management and Legal, insurance carrier underpayments and denial detail projects. The Project Specialist will be responsible for organizing and coordinating a team, whether with current AR Staff or Temporary Staff to retrospectively audit prior claim submissions, and payments compiling a historical look-back on payments to charges. The Project Specialist, Supervisor will be responsible for providing an accurate report supporting all of the collective information obtained during the audit. The Project Specialist Supervisor will be responsible for inventory control on each payer audit conducted, securely storing all of the compiled information electronically, and hard copy back-up’s – and to maintain these logs with new updated information as payments post to the accounts. In addition, this role will include working directly with outside legal firms, agencies, and subject matter experts to assist in the preparation of lawsuits / arbitration matters, and self-pay collections 

Education: 

Two Year Degree Required, and bachelor’s Preferred. Experience in specific job function maybe substituted for education. 

Experience: 

Five + years of experience in medical business matters at the client or physician practice level. Lean Six Sigma, Kaizen or other Lean Process Management experience preferred 

Certifications: 

CPC, CPAM and/or CRCR preferred but not required. 

Specific areas of Responsibility 

  Legal Project Management:  

• Manage and prefer all legal documents for pending litigation's. 
• Create litigation discovery documents and manage team in preparation. 
• Create and quantify damaged model and work with VP of RCM, Legal Department, and experts in preparation of litigation. 
• Works with internal and external legal departments with respect to all company payer litigation projects. 
• Manage and respond to all payer correspondences as it relates to any payer in litigation.  

 Agency Project Management:  

• Work with agency in weekly file placements. 
• Work with key member of the agency in reconciling account balances. 
• Manage staff that is responsible for addressing agency requests. 
• Address patient and payer inquiries for client that are with the agency. 
• Meet with agency and agency staff periodically to best manage the project. 
• Responsible for managing P2P workflow and ensuring patient accounts are worked within RCM, accounts are correct, and transferred timely.  
• Responsible for the management of the P2P – Widget. 
• Responsible for notifying the agency with deceased, and bankruptcy cases, as well as updating Avatar.  

 Special Project Management:  

• Responsible for putting teams together to address any assigned project. 
• Responsible for managing and preparing the responses to any audits, refunds notices, and requests. 
• Responsible for all documentation and filing of all documents for auditing purposes as it related to refunds, disputes and audits. 
• Responsible for working with Compliance and Legal for payer retrospective audits  

  Other Management:  

• Responsible for yearly notices to ALL Payers on Charge Master. 
• Responsible for all payer websites (Administrator). 
• Manage and update all Overpayment folders for each facility 
• 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; adhere to all HIPAA guidelines and regulations. 
• Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks. 
• Follows all state regulations for development regarding professional license. 
• Excellent computer and software skills (Microsoft Suite). 
• Ability to work on part of a multidisciplinary team. 
• Ability to multi-task. 
• Ability to communicate accurately and concisely, written and oral. 
• Excellent interpersonal and telephone skills.