AR Collections Specialist - Mental Health & SUD Focused *Must reside in the Eastern (ET) or Central Time (CT) Zone   Hours: 8:00am to 5:00pm ET Pay ranges $21 to $23/hour 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. Benefits include:  - Health, Vision, Dental, Employer-Matched 401(k) - STD, LTD, and Employer-Paid Term Life Policy - Employer Matched HSA – up to $1500 a year company contribution - Employee Wellness Program – reduce employee premiums $40/mo - Free MDLive telehealth benefit - Paid Time Off - Vacation /Personal /Holiday/Sick - Employee Referral Bonus  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. CORE JOB DUTIES: - 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. - Daily auditing of active and non-active clients to ensure proper program, authorization, diagnosis, and revenue elements have been captured. - Communicating with department and hospital staff to address any issues related to billing and the accuracy of charge capture, insurance, authorization and billing. - Addressing all rejected claims, merging, editing and ensuring proper filing is done in accordance with ARS’ billing rules. - Ensuring all worklists assigned by management are up to date and compliant in terms of productivity and accuracy. - Updating EMR and patient accounts when required, and opening IT tickets to address any issues that may cause delay in billing. - Following up post submission for any third-party billing to ensure claim(s) are on file and set to pay. - 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. - Documenting actions throughout the claim life cycle by entering notes within Avatar, Waystar, and BB Tech (Tool Kit). - Identify claim rejection and denial trends, and bringing those trends to the attention of management. - Attend AR meeting as needed and conducted by your management team. - Apply standard improvement processes, follow-through (PDCA); Plan, Do, Check and Action. - Maintain strict confidentiality, adhere to Part2 regulations and HIPAA guidelines. - Follow all state regulations and adhere to all company policies and procedures. - Other duties as assigned.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Here at UnitedHealth Group, you're expected and empowered to be your best, to grow and to develop your skills. Join us and help people live healthier lives while doing your life's best work. Be part of an exciting team within Optum where you can utilize your Operations experience to support multiple internal teams as well as providers and patients. Work Schedule: Must be able to work Monday - Friday with a set schedule of hours between 7am - 7pm CST. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Specialty Appeals Registered Nurse role fills an integral role in drafting and submitting appeals for specialty patients with acute and chronic disease states. In this role you will be preparing appeal letters for submission, obtaining support documents, following up on prior authorization outcomes, and addressing issues and handling concerns from other corresponding departments. In addition, the Registered Nurse would: - Communicate with providers, patients, and pharmacy staff to obtain necessary clinical documentation, prior authorizations, and appeal letters - Facilitate appeals process between the patient, physician, and insurance company by requesting denial information and facilitates obtaining the denial letter from the insurance, patient or physician. Composes clinical appeals letters based off of specific denial reason and patients clinical presentation. Ensures all clinical information and documentation are obtained prior to appeal submission - Accessing multiple Optum resources to check PA, insurance and appeal status and benefits. Utilization of and proficiency in multiple internal processing systems for record keeping and tracking of letter determinations - Interpret and utilize clinical documentation from providers, and different pharmacy/computer systems - Utilizing multiple platforms, researching clinical studies for points of argument for appeals - Write and return assigned appeals to providers - Utilization of and proficiency in multiple internal processing systems for record keeping and tracking of determinations - Assign appeal requests to coworkers as needed (rotating schedule) - Perform other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Active, Registered Nurse License - Willingness to obtain Case Management Certification (CCM) once eligible - 2+ years of clinical experience as a Registered Nurse - 1+ years of experience working with prior authorization, pre-certification, utilization review, and / or appeals experience - Understanding of clinical documentation from physician offices - Proficiency with MS Word, Excel, SharePoint - Proven ability to work independently (At home or office) Preferred Qualifications: - Bachelor’s degree - RN licenses in multiple states (outside of compact states) - Case Management Certification (CCM) - PBM and / or Managed Care experience - Prior Authorization/Appeal Experience - Knowledge of healthcare insurance plans, denials, and appeal procedures - Advanced computer skills; Experience in a paperless role *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $25.10 - $29.54/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position. Overview Candidates in Illinois or Michigan only, with professional coding experience are encouraged to apply. Training will be discussed during interview Full Remote Near OSF Location POSITION SUMMARY: The Coder position assigns accurate ICD-CM/PCS & CPT/HCPCS codes to all pertinent diagnoses and procedures to introductory and other moderate level complexity coding assignments. Coder position complies with coding guidelines, abstracts all required information for statistical and reimbursement purposes. This position works closely with revenue cycle team members to ensure appropriate billing and reimbursement. Qualifications REQUIRED QUALIFICATIONS: Education: High School Diploma/ GED. Licensure/ Certification: Completion of AAPC or AHIMA approved coding certificate program with one of the following certifications: RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-A, CPC-H, OR RHIA/RHIT-eligible and obtained within 1 year of hire. Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented. Completed Medical Coding courses focused on ICD-CM/PCS and CPT coding guidelines. Knowledge of medical terminology, anatomy/physiology, disease processes, medical records and hospital procedures. Ability to concentrate on a task over a period of time without being distracted by Basic keyboard and software application skills. Demonstrated ability to communicate via written and verbal means. Able to provide information to supervisors, co-workers and physicians by telephone, written, e-mail or in person. PREFERRED QUALIFICATIONS: Experience: 1 year professional or hospital coding experience. OSF HealthCare is an Equal Opportunity Employer.

Title: Medical Billing & Collections Generalist Location: Mifflinburg United States Customer Service/Support Job Description: About Rotech Join a Leader in Home Healthcare At Rotech Healthcare Inc., we're more than a medical equipment provider-we're a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Overview and Responsibilities Summary We are seeking a dedicated Billing Collection Generalist for our Billing Center. In this position you are responsible for the completion of special projects as assigned by the Billing Center manager (BCM) or supervisor (BCS), working directly with them to ensure all projects are handled effectively and efficiently. Pay starting at $15 - Mon - Fri scheduled shift / flex hours between 7am - 5pm - Work From Home after successful completion of IN OFFICE TRAINING and are meeting expectations with management approval Essential Job Duties and Responsibilities (Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.) - All manual re-billing audits are reviewed for accuracy and turned into supervisor for approval before posting, insures release of claim - Contacts payer, patient or location as appropriate - Documents all work done in iWorkQ via notes and patient notes in eIntake - Ensures good communication with locations and payers - Processes all adjustments within iWorkQ - Processes doctor and insurance changes in eIntake - Reports to BCC Supervisor any payer trends preventing payment - Resolves emails from BCC Supervisor/BCM within 48 hours - Reviews patient information in IMBS and eIntake to determine why the claim is unpaid - Reviews patient information in IMBS to determine if an adjustment is valid - Special Projects as assigned by the BCD with specific instructions as to how to complete and when to complete by - Works with BCC Supervisor and Team Lead on resolution of payer and patient issues - Performs other duties as assigned Qualifications Employment is contingent on - Background check (company-wide). Results will not be used automatically to disqualify individuals. Instead, the Company will conduct an individualized assessment that considers the duties of the position, the nature and timing of the offense, and any evidence of rehabilitation, in accordance with applicable laws. - Drug screen (when applicable for the position) - Compliance with healthcare facility credentialing process (when applicable for the position) - Valid driver's license in state of residence with a clean driving record (when applicable for the position) Required Education and/or Experience - High school diploma or GED equivalent, required Preferred Education and/or Experience - One to three years of related prior work experience in a team-oriented environment - Experience in medical field and administrative record management, preferred - Strong customer service background Skills and Competencies - Effectively communicate in English; both oral and written - Interpret a variety of communications (verbal, non-verbal, written, listening and visual) - Maintain confidentiality, discretion and caution when handling sensitive information - Multi-task along with attention to detail - Self-motivation, organized, time-management and deductive problem solving skills - Work independently and as part of a team Machines, Equipment and Technical Abilities - Email transmission and communication - Internet navigation and research - Microsoft applications; Outlook, Word and Excel - Office equipment; fax machine, copier, printer, phone and computer and/or tablet Physical Demands - Lifting may be required at times - Requires sitting, walking, standing, talking and listening - Requires close vision to small print on computer and/or tablet and paperwork Rotech Information Benefits - Generous paid time off and paid holidays - Overtime pay for non-exempt positions (as applicable) - Commission for Account Executives - Bonus and incentive opportunities - Fixed and variable car reimbursement for Area Managers and Account Executives - Car, mileage, and telephone reimbursement (as applicable) - Employee discount and recognition programs - Employee Assistance Program (EAP) - 401(k), HSA, and FSA/Dependent Care FSA - Medical, prescription, dental, and vision coverage - Life insurance, disability, accidental death, identity protection, and legal services - Meru Health mental health and Mercer SmartConnect Medicare programs - Livongo Diabetes and High Blood Pressure programs - Healthcare Bluebook and RX Savings Solutions programs - Hepatitis B (HEPB) and TB vaccinations Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.