Financial Case Manager

We're looking for a passionate Full-Time Financial Case Manager to join our team!

Schedule: Monday - Friday, 8a-5pm (Not a Remote Position)

Pay Range: $23-$25/hr

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.

The Financial Case Manager’s primary responsibility is to provide financial counseling to patients and families, including insurance benefit education, responding to financial inquiries, and collecting and processing co-pays and deductibles in accordance with ARS policies and procedures. In addition, the role supports Case Management functions by ensuring compliance with State and Federal guidelines, participating in discharge planning, completing discharge needs assessments, coordinating aftercare services and appointments, and collaborating with the treatment team, payors, and facility leadership to support continuity of care.

Works effectively with the facility leadership team to ensure success of the facility by completing the following:

Primary focus in the following areas:

• Serve as the primary financial counselor for patients, providing education on insurance benefits, explaining financial responsibilities, and collecting/ processing copays and deductibles according to their plans.

• Meet with new patients within 72 hours of admission
• Review Insurance coverages with patients - included coverages, copays, deductibles.
• Help initiate leave of absence paperwork or letter of presence documentation if needed
• Collect copayments for IOP services.

Core Job Duties:

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.

• Bachelors’ Degree in health-related field, Finance/Accounting or Medical Management office experience preferred. Minimum high school diploma.

• Minimum one- or two-years’ experience, preferred experience in the medical, behavioral healthcare or financial field.
• Familiar with community resources and proficient in providing, discussing, and resolving financial issues and policies.

Benefits

We offer great benefits including 401(k), paid time off plan, medical, dental, vision, and much more.

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.