FULL_TIME

FEED

YEAR

ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.

Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members?  ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny!ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do!We are hiring a Denials Resolution Specialist to our growing team!  Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements.  Key Responsibilities<ul><li style="list-style-type:disc">Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status.</li><li style="list-style-type:disc">Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.</li><li style="list-style-type:disc">Builds relationships with MCO.</li><li style="list-style-type:disc">Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods.</li><li style="list-style-type:disc">Anticipates potential areas of concern within the claim’s denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle.</li><li style="list-style-type:disc">Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels.</li><li style="list-style-type:disc">Carry out insurance appeals</li><li style="list-style-type:disc">Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides.</li><li style="list-style-type:disc">Assists with unusual, complex or escalated issues as necessary.</li><li style="list-style-type:disc">Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc.</li><li style="list-style-type:disc">Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.</li><li style="list-style-type:disc">Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.</li><li style="list-style-type:disc">Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment.</li><li style="list-style-type:disc">Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.</li><li style="list-style-type:disc">Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.</li><li style="list-style-type:disc">Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures.</li><li style="list-style-type:disc">Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices.</li><li style="list-style-type:disc">Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.</li><li style="list-style-type:disc">Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc.</li><li style="list-style-type:disc">Establishes and maintains professional and effective relationships with peers and other stakeholders.</li><li style="list-style-type:disc">Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues.</li><li style="list-style-type:disc">Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. </li><li style="list-style-type:disc">Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty.</li><li style="list-style-type:disc">Depending on role and training, may be called upon to support other areas in the Revenue Cycle.</li><li style="list-style-type:disc">Performs related duties as required.</li></ul>Key Experience and Education Needed:<ul><li style="list-style-type:disc">High school graduate or equivalent is required </li><li style="list-style-type:disc">Some college coursework is preferred</li><li style="list-style-type:disc">Graduate from a post -high school certificate program in medical billing or another business-related field is preferred</li></ul>KNOWLEDGE/SKILLS/ABILITIES:<ul><li style="list-style-type:disc">Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities.</li><li style="list-style-type:disc">Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations</li><li style="list-style-type:disc">Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.</li><li style="list-style-type:disc">Effective organizational and problem-solving skills are required</li><li style="list-style-type:disc">Demonstrated ability with medical billing systems and third-party payment processes are required.</li><li style="list-style-type:disc">Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate.</li><li style="list-style-type:disc">Detail oriented</li><li style="list-style-type:disc">Excellent keyboarding skills and experience with medical billing systems.  </li><li style="list-style-type:disc">Substance abuse experience preferred.</li></ul><ul><li style="list-style-type:disc">Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner</li><li style="list-style-type:disc">Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served </li></ul><ul><li style="list-style-type:disc">Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the job description which are related to work as a member of an addiction treatment team. </li></ul>ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.!         Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.  Powered by JazzHR

Addiction Recovery Care

Denials Resolution Specialist

Americans with Disabilities Act (ADA)

Billing

Change Management

Claims Processing

Communication Skills

Contract Requirements

Customer Relations

Customer Support/Service

Detail Oriented

Documentation

Entrepreneurship

Establish Priorities

Government

Government Regulations

HIPAA (Health Insurance Portability and Accountability Act)

Health Insurance

Healthcare

High School Diploma

Identify Issues

Insurance

Insurance Claims

Internet Portal

Leadership

Managed Care

Medical Billing

Medical Records

Medical Terminology

Patient Confidentiality

Policy Development

Presentation/Verbal Skills

Problem Solving Skills

Procedure Development

Psychiatry and Mental Health

Quality Assurance

Regulatory Compliance

Regulatory Requirements

Reimbursement

Root Cause Analysis

Spreadsheets

Stewardship

Substance Abuse

Third-Party Payer

Time Management

Trend Analysis

Typing

Writing Skills

partner JazzHR

UNKNOWN

OTHER

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use of prescription medications and illicit drugs supporting improved clinical decision-making as part of treatment for millions of Americans with chronic pain, mental illness, and substance use disorders. Seeking: Female candidates required for observed collections of gender identified male/female patients.

Full Time Female Specimen Collector Phlebotomist II Location: Ironton, OHSchedule: Full Time. Monday-Friday, 8:00am-5:00pmSeeking: Female candidates required for observed collections of gender identified male/female patients. Candidates must be willing to travel. This is a traveling position which receives mileage reimbursement.  A clean MVR, active driver's license and reliable transportation is required.  Help make a positive impact in your community! Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use of prescription medications and illicit drugs supporting improved clinical decision-making as part of treatment for millions of Americans with chronic pain, mental illness, and substance use disorders.  The Specimen Collector II is a key role at Millennium Health.  As our representative, this position provides exemplary care and exceptional customer service to patients, clinicians, and our laboratory.  <ul><li>Collect patient blood, urine and/or oral fluid (saliva) specimens  </li><li>Process and package collections for shipping </li><li>Serve as an intermediary between the practice / clinic and the laboratory  </li><li>Record patient information, physician order details, and pertinent laboratory information </li><li>Resolve specimen concerns with billing or patient information in ordering portal </li><li>Order and maintain collection supplies inventory onsite  </li><li>Observe collection for Millennium Health specimens (when applicable) </li><li>Driving from/to multiple facilities may be required and occasional overnight coverage.  </li></ul>RequirementsIdeal Candidate:  <ul><li>Certified phlebotomist with 1+ year experience in the field (experience considered in place of certificate) </li><li>6+ months of experience as a specimen collector or 1+ years of experience in the medical field, directly supporting patients preferred </li><li>2+ years of customer service experience can be considered in place of medical experience </li><li>Demonstrated ability to navigate a smart phone and computer required </li><li>Valid driver’s license required; reliable transportation</li><li>Medical insurance/billing and/or familiarity with medications/diagnostic codes is a plus </li><li>High School diploma or equivalent required </li><li>Physical requirements: sitting 60%, walking 20%, standing 20%, lifting up to 20 lbs</li><li>This position requires regular travel. In accordance with federal travel regulations, all employees must possess a valid REAL ID or an acceptable alternative form of identification to comply with government travel guidelines. Proof of compliant identification will be required prior to the start of employment.</li></ul>Millennium Health is a CLIA Certified and CAP Accredited specialty laboratory. We partner with a trusted and accredited background screening provider, to conduct pre-employment background checks. As part of our screening process, we will review the following: • National, federal, and county criminal history• Global watchlist search• Social Security Number (SSN) trace• FACIS (Fraud and Abuse Control Information System) Level 3 search• SAM (System for Award Management) and OIG (Office of Inspector General) exclusions• Education verification• Driving record (Motor Vehicle Report)• 5-panel urine drug screening All employment offers are contingent upon the successful completion of this background check. Offers may be rescinded if the results do not meet the standards established for the position.Benefits Benefits Offered:  <ul><li>Medical, Dental, Vision, Disability Insurance </li><li>401k with Company Match  </li><li>Paid Time off and Holidays </li><li>Tuition Assistance </li><li>Behavioral and Health Care Resources </li><li>Mileage Reimbursement</li></ul> <ul><li>Salary Range:  $20-22/hr.</li><li>Salary offered is dependent on qualifications, experience, and geographical location.</li></ul> Please note this job posting 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.  Millennium Health is an Equal Opportunity/Affirmative Action Employer and E-Verify participant. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

Millennium Health, based in San Diego, is a leading health solutions company that delivers timely, accurate, clinically actionable information to inform the right treatment decisions for each patient. The company shares a unified belief that everyone has the right to safe and effective medicine and aims to deliver on that idea by providing payers and clinicians with effective tools and information to reach that goal. Millennium Health offers a comprehensive suite of services, including The RxAnte System, Millennium PGTSM and Millennium UDTSM, that can be applied together to better address the goal of better tailoring patient care.
Mission 
Since its founding in 2007, Millennium Health has been focused on improving the lives of people who are suffering. Through our ability to attract dedicated and highly-skilled people and our use of best-in-class technology, we transformed the science of toxicology to help ensure safety, proper care, and best treatment options for patients in need. The resources and education we provide help to personalize treatment plans, and improve clinical outcome and patient safety.
Vision
Our vision for Millennium Health is to continue to respond to evolving health care challenges and provide the superior technology and service our customers deserve. We will ​help practitioners to improve the quality of care, reduce costs and enable a new emphasis on patient-centered care. The contributions of our employees allow us to anticipate the changing needs of our customers and embrace opportunities to advance the practice of medicine. Our people are our greatest asset and we strongly believe that their integrity, creativity and dedication are the building blocks of our future success.​

Millennium Health

Specimen Collector Phlebotomist II - 1665

Background Investigation

Blood Bank

Clinical Laboratory

Clinical Support

Decision Support

Disability Insurance

Driver's License

Federal Laws and Regulations

Healthcare Customer Service

Inventory Management

Lift/Move 20 Pounds

Medications

Phlebotomy

Physical Demands

Prescription Drugs

Vision Plan

Willing to Travel

Workable

Safer than most other healthcare settings as –weapons are forbidden, controversial inmates dealt with by correctional staff (safety and security takes precedence), inmates are punished for acting out, visits can be stopped at any time and restarted at a later date/time. Location : Location: US-OH-Portsmouth Recruiter : Full Name: First Last: Michelle Collins Direct phone number: 314-744-4189 Recruiter : Email: Michelle_Collins@spectrumhealth.com

Job Description:
Team Health and Spectrum Healthcare Resources has an excellent opportunity for a Licensed Professional Nurse (LPN) in Portsmouth, Ohio. The LPN will be providing Correctional Medical care for those housed at at the Scioto County Sheriff's Office. Position Highlights: <ul><li>Full- Time Day Shift   </li><li>We staff from 7a- 7pm ( 12 hour Shifts)</li><li>Adult population</li></ul>  Job Duties:<ul><li>Provide a range of medical care to include primary, addiction, urgent and behavioral health care</li><li>Free from coding, billing, insurance, satisfaction surveys, ICD-10 and DRGS</li><li>Care is evidence based. We address needs, not wants</li><li>Vast array of medical pathology that is not seen in any one other healthcare location</li><li>Work is socially meaningful as patients are a socially marginalized and lack ordinary access to medical care whether due to lack of insurance, mental illness or homelessness (**for anyone interested in addiction medicine or mental health)</li><li>Large degree of medical autonomy and free of micromanaging. Extensive nursing guidelines in place.</li><li>Safer than most other healthcare settings as –weapons are forbidden, controversial inmates dealt with by correctional staff (safety and security takes precedence), inmates are punished for acting out, visits can be stopped at any time and restarted at a later date/time</li></ul>  Position Requirements:<ul><li>Graduate of a school of practical or vocational nursing approved by a state agency or accredited by the ACEN</li><li>A minimum of 12 months of experience in a primary care setting within the last 24 months</li><li>Active, unrestricted OH LPN license</li><li>BLS from the American Heart Association</li></ul> For More Information Contact: Michelle Collinsmichelle_collins@spectrumhealth.com314-744-4189 Company Overview: At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission.  EOE / Disability / Vet  

Location : Location:
US-OH-Portsmouth

Recruiter : Full Name: First Last:
Michelle Collins

Direct phone number:
314-744-4189

Recruiter : Email:
Michelle_Collins@spectrumhealth.com

Spectrum Healthcare Resources

LPN/LVN - Ambulatory

Basic Life Support (BLS)

Behavioral Health

Correctional Health

Diagnosis-Related Group (DRG)

Federal Government

Homeless Services

ICD-10

Licensed Practical Nurse/Licensed Vocational Nurse

Medicine

Nursing

Nursing Credentials

Pathology

Patient Care

[AW]-iCims

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Denials Resolution SpecialistAddiction Recovery Care

Specimen Collector Phlebotomist II - 1665Millennium Health

LPN/LVN - AmbulatorySpectrum Healthcare Resources

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