Job description
Overview:
Our addiction recovery center(s) provide a comprehensive approach to care. AdCare's integrated system of care offers a range of accessible treatment centers including a 114-bed inpatient hospital and several conveniently located outpatient sites located throughout the Massachusetts and Rhode Island areas. When you join AdCare, you become part of our family. AdCare seeks talented individuals who are passionate, empathetic, engaged in their work and dedicated to serving people. Together, we can enable our patients to live happier and healthier lives. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities:
Duties and Responsibilities:
American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law. ACC will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.
Company Summary
AdCare, a subsidiary of American Addiction Centers, Inc., is a for-profit substance abuse disorder treatment facility located at 107 Lincoln Street, Worcester, MA 01605 . For over 45 years, AdCare has been helping individuals and families struggling with alcohol and drug use, one life at a time. The AdCare name represents innovation, quality, and cost efficiency in treating alcohol and drug dependency. We are committed to improving the lives of our patients and their families by providing safe, effective, recovery-based alcohol and drug treatment.
Our addiction recovery center(s) provide a comprehensive approach to care. AdCare's integrated system of care offers a range of accessible treatment centers including a 114-bed inpatient hospital and several conveniently located outpatient sites located throughout the Massachusetts and Rhode Island areas. When you join AdCare, you become part of our family. AdCare seeks talented individuals who are passionate, empathetic, engaged in their work and dedicated to serving people. Together, we can enable our patients to live happier and healthier lives. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.
Job Summary
The Collections Representative will effectively handle collections communications, which may include correspondence, telephone and email, from patients, insurance companies and other entities. Utilize customer service, collections, and billing experience to gather and interpret relevant information to resolve patient account issues and complaints. The representative utilizes multiple electronic billing and medical retrieval systems. Must be able to respond to a wide range of patient issues, including government and non-government payers, to resolve account balances.
Duties and Responsibilities:
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Contact the guarantor for accounts that are selected for follow up to try and resolve the balance either through collections or by initiating other appropriate follow up steps.
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Respond to patient/guarantor concerns in a timely manner for all outstanding balances.
- Resolve issues during the initial telephone call.
- Verify the patient’s fiscal and demographic information at every opportunity and make appropriate updates to various billing systems to ensure claims are processed appropriately including the completion of required supplemental information such as race/sex information and Medicare as a Secondary Payer questionnaire.
- Document all patient interactions and account actions in assigned billing systems to establish a clear audit trail.
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Obtain information from and perform actions on a variety of systems including hospital legacy billing systems; in order to analyze claims, resolve issues and respond to the patient’s inquiry.
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Obtain information from internal third-party payer units, patient PCP/Practice/Group Practice Management, payers, patient employer group, ambulance companies and other hospitals to help resolve the patient’s inquiry.
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Ensure accurate patient billing through review of account history, third party billing activity and analysis of payments and adjustments. Seek expert assistance from other departments as needed.
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Identify root cause(s) of guarantor/patient inquiries and report findings to management for appropriate resolution to future accounts.
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Record and classify all communications in the appropriate systems for statistical reporting.
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Submit patient credit balances that need to be refunded to the appropriate parties for action by verifying the reason for the credit.
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Communicate clearly and concisely both orally and in writing. Follow established regulations and procedures in collection, recording, storage and handling of information. Ensure required documentation of issues is complete, accurate, timely and legible.
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Protect and preserve confidentiality and integrity of all information according to PHS HIPAA confidentiality policy.
Education/ Experience:
- High School diploma or GED equivalent required. Associates Degree preferred.
- Epic billing systems knowledge preferred.
- Effective communication, organizational and problem solving skills required.
- 1-3 years relevant experience in customer service or collections in a health care setting strongly desired.
- Familiarity with medical/hospital billing systems and third party payment processes desired.
- Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation.
- Knowledgeable on basic Medicare issues including Medicare as a Secondary Payer (MSP).
- HIPAA Privacy guidelines
- Good verbal and written business communications skills sufficient to clearly document issues and communicate with patients.
- Effective organizational and problem solving skills
- Ability to manage multiple tasks/projects simultaneously
- Detail oriented
American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law. ACC will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.
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