Payment Recovery Specialist jobs in Pennsylvania
Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Payment Recovery Specialist jobs
Recovery Support Specialist
- Passages to Recovery
-
Homestead, PA
FULL_TIME
-
The Recovery Support Specialist (RSS) provides nonclinical services that support clients at Passages to Recovery's residential treatment facility in their recovery journey. By facilitating and maintaining the day-to-day activities that are essential components of each client's treatment plan, the RSS makes it possible for clinical and medical staff to focus more effectively on their own respective roles. By developing professional rapport with clients, sharing their lived experience where applicable, and modeling constructive behaviors, the RSS helps clients achieve their treatment goals. By sharing their insights and observations at treatment team meetings and in supervision, the RSS provides important information regarding clients' progress. By ensuring adherence to all applicable regulatory, safety and security procedures and standards, the RSS maintains order and structure within the physical treatment milieu and protects clients, staff, and the organization from exposure to the negative consequences of noncompliance. This role provides continuity within residential treatment services, maintains constant attention to clients' needs outside of clinical activities, and facilitates their smooth transition from professionally assisted recovery to personally directed, community supported recovery maintenance.
Essential Duties and Responsibilities (during each shift, unless otherwise indicated):- Provide a range of personal supports to program participants, as indicated, including individual coaching, mentoring, and sharing, support in developing self-advocacy skills and setting boundaries; psychoeducational groups, health and wellness information, educational assistance, support in acquiring life/social skills, and job readiness.
- Participates in direct patient care including patient flow, group facilitation, and therapeutic individual interaction
- Assists with verbal de-escalation as well as Against Advice interventions
- Assists in admissions including a person’s search, heat treatment, and patient belongings search and documentation; also includes processing of drop-offs and mail
- Assists clients with the discharge process including packing of belongings, and Survey completion
- Assists with all aspects of visitation program, whether in-person or virtual including greeting, sign-in, orientation, search and belongings processing
- If applicable, once DMV record is cleared, RSS may act as an approved driver for patient outings responsible for safe transport and observation of patients
- Is proficient with all technology hardware, company systems and tools required to perform
- Always demonstrates appropriate confidentiality when interacting with patients, residents, families, visitors, referral sources, and all other contacts
- Exhibits excellent customer relation skills as evidenced by supportive and constructive communication with all contacts including co-workers, patients, residents, visitors, families, and referral sources
- Understands multiple paths of recovery including MAT and how they apply to the recovery process.
- Engage clients and provide recovery support as needed in the moment, including encouraging clients to attend group and program services, adhering to their daily clinical schedule, and assisting them with their work therapy assignments.
- Identify emergency or crisis situations, including the administration of CPR, Narcan and other life sustaining actions when necessary.
- In concert with clinical and client-oriented staff, help clients identify and prioritize their needs and goals, using a strengths based approach including Motivational Interviewing.
- Facilitate and support clients during their leisure and volunteer activities in the community; support them in socialization, visitation and recreation activities.
- Escort clients in the community as necessary.
- Be attentive to warning signs of conflict, crisis, relapse, and any other behaviors that could put clients at risk and/or disrupt service delivery and recovery progress. Engage in active de-escalation and conflict resolution as quickly and effectively as possible when needed.
- Facilitate or co-facilitate life skills and psychoeducational groups, as assigned; provide feedback and input that will help therapists prepare for group and individual sessions.
- Observe and document client self-administration of medications
- Participate in treatment team meetings to provide input concerning clients' emotional and behavioral needs, and to share observations about their affect and behaviors outside of clinical activities.
- Assist in the completion of all required paperwork, including routine documentation such as head counts, incident reports, escape reports, and all other documentation required by the terms of Passages' contracts and licensures.
- Support the front line nonclinical team, including Monitors, in maintaining 24/7 coverage within the facility; work with the Clinical Supervisor and other team members to ensure constant, accurate and complete oral and written communication, including emails; share responsibilities where indicated; provide mutual assistance, instruction and backup; and provide emergency coverage for the next shift.
- Must learn and understand all provisions in the Resident Handbook; learn and understand residential treatment operations; learn and understand the ways in which the requirements of the criminal legal system affect clients' daily activities; and ensure that clients understand and comply with all of these requirements and processes.
- Maintain a current understanding of federal, state, and local confidentiality rules and regulations, and maintain confidentiality regarding information received during the facilitation of recovery support services.
- Maintain certification credential(s) and engage in continuing relevant professional development, applying practical and professional knowledge and experience.
- Current certification as a PA Certified Recovery Specialist and/or Certified Family Recovery Specialist or with similar relevant training/certification and eligible to CRS/CFRS certification(s) within six months of hire)
- At least one year of experience working in community-based recovery settings
- Able to obtain current ACT 33 & 34 Clearances
- Able to obtain additional clearances as required
- Valid driver’s license and reliable, insured personal transportation
- Basic computer skills, including Microsoft Office Suite and videoconferencing applications.
- Experience with databases/data entry preferred.
- High school diploma or equivalent.
- Able and willing to work flexible hours, including evenings and weekends.
- Excellent communication and interpersonal skills, including empathetic and active listening and ability to communicate in a non-judgmental way.
6wZt5CzSi0 - 9 Days Ago
Certified Peer Recovery Specialist
- Woodhaven Recovery
-
Factoryville, PA
FULL_TIME
- We are recruiting outstanding individuals to join us as we create an innovative residential and programmatic approach for our new adolescent program opening in Spring 2024. We are looking for collabor...
- 15 Days Ago
Certified Recovery Specialist (CRS)
- BriteLife Recovery
-
Hanover, PA
FULL_TIME
- CERTIFIED RECOVERY SPECIALIST (CRS) Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a “true” team environment, where collaborating and working toge...
- 23 Days Ago
Certified Recovery Specialist/Certified Peer Specialist
- MVP RECOVERY
-
Chester, PA
FULL_TIME
- Job Posting: Certified Recovery Specialist (CRS) - Full-Time**Company:** MVP RecoveryLocation:** Chester, Delaware County, PennsylvaniaPosition Type:** Full-TimeAbout Us:**MVP Recovery is a premier pr...
- 2 Days Ago
Certified Recovery Specialist
- Graniteville House of Recovery
-
Sweet Valley, PA
PART_TIME,FULL_TIME
- Who are We? Who are You? In everything we do, we believe in the endless possibilities of thinking differently. At Graniteville House, we believe the work we do is a reflection of who we are. We are al...
- 7 Days Ago
Payment specialist
- Universal Health Services, Inc.
-
Wayne, PA
FULL_TIME
- Responsibilities Independence Physician Management (IPM) , is a subsidiary of Universal Health Services, Inc (UHS). IPM was formed in 2012 as the physician services unit of UHS. IPM develops and manag...
- 5 Days Ago
Payment Recovery Specialist jobs at Popular Companies
Recovery Specialist
- Priority Staffing Group, Ltd.
-
Marion, IL
- Job Description Job Description Priority Staffing Group is hiring a Recovery Specialist for one of Southern Illinois lar...
- 6/10/2024 12:00:00 AM
Recovery Specialist
- High Point Treatment Center, Inc.
-
New Bedford, MA
- Recovery Specialist Program/Location: Women's Addiction Treatment Center (WATC)/ New Bedford Education: High School dipl...
- 6/10/2024 12:00:00 AM
Recovery Specialist
- Hertz
-
Oklahoma City, OK
- Job Description A Day in the Life: The Recovery Specialist is responsible for managing claims including billing, collect...
- 6/9/2024 12:00:00 AM
Recovery Specialist
- AtlantiCare
-
Atlantic City, NJ
- Job Description POSITION SUMMARY Reports To: Manager/ Unit Director Training: HSFAC required, Zero Suicide training and ...
- 6/9/2024 12:00:00 AM
Recovery Specialist
- THE CENTER FOR PREVENTION AND COUNSELING
-
Newton, NJ
- Job Description Job Description On-call, Per-diem positions Provide non-clinical assistance and peer recovery support fo...
- 6/9/2024 12:00:00 AM
Recovery Specialist
- The Hertz Corporation
-
Oklahoma City, OK
- A Day in the Life: The Recovery Specialist is responsible for managing claims including billing, collections, and adjust...
- 6/8/2024 12:00:00 AM
Recovery Specialist
- Centerstone
-
Carterville, IL
- Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to d...
- 6/6/2024 12:00:00 AM
Recovery Specialist
- Hillside Detox
-
Newton, MA
- Job Description Job Description DESCRIPTION: To provide support to patients receiving services for withdrawal management...
- 6/6/2024 12:00:00 AM
About Pennsylvania
Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east.
Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$48,486 to $63,796