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)
Recovery Specialist
Program & Location: Plymouth Inpatient, ATS/CSS/Section 35 Units
Education: High School diploma or equivalent (GED)
Pay Range: $20 - $24 per hour (experience and education dependent)
Status: FT/PT & Per Diem positions available for all shifts (morning, evening and overnights)
Benefits
About Us
High Point & Affiliated Organizations is a health and human service agency whose mission is to treat and prevent substance use disorders and mental illness. High Point has programs located throughout Southeastern Massachusetts offering a full continuum of care for substance use and mental health treatment, including inpatient, outpatient, residential, and community-based services. Programs and services also assist survivors of abuse, violence, and families experiencing homelessness. High Point believes that everyone has inherent goodness, worth, and dignity. Our goal is to help individuals and families achieve personal change and improve their quality of life.
Recovery Specialist Requirements
Recovery Specialist Duties & Responsibilities
Compliance with Federal Regulations regarding 42 CFR Part 2; Confidentiality of Substance Use Disorder and HIPAA Regulations
Perform under the delegation authority of the RN / LPN working on the shift assigned
Attends and participates in charge of shift report with nursing staff at beginning and end of each shift
Reviews and adheres to posted shift assignment at the start of shift
Reports off to nurse when leaving the unit for any reason
Observation and accounting of al patient at all times to ensure safety, entering findings of patient status into the EHR at a minimum of hourly
Observation and reporting to the nurse signs of withdrawal and/or medical and behavioral changes
Monitor the milieu including bathrooms and group room for safe, clean and therapeutic environment at hourly and/or as needed
Monitor supplies necessary for showering and personal care to maintain individual hygiene/safety
Utilize Walkie-Talkies as campus responders and perform radio checks hurly when escorting patient off the unit
Understanding of emergency procedures and codes
Maintain therapeutic boundaries by setting limits and enforcing rules in a respectful manner
Remain calm in crisis
Process new patient admission including the new EHR process, an inventory and documentation of clothing, electronic and valuables
Escorting patients to meal, groups, medical appointments within the facility and outdoor break
Assisting with discharges and escorting patients off the unit
Facilitate assigned groups
Work with the team to ensure consistent care
Monitor milieu as directed by the nurse during Medication Administration (ATS)
Perform Medication Monitoring during Observed Self-Administration (on CSS/TSS units) after completed training
Perform room searches and bag searches when directed
Be familiar with and adhere to the rights of patients as defined by DPH Patient Rights Standards (105 CMR 164.079)
Ensure the unit is neat and clean, performing end of shift duties to maintain a therapeutic environment for patients and staff
Restock supplies as needed
Print daily census in preparation got next shift
Attend Supervision with assigned supervisor twice monthly and/or as needed based on status or concerns
Attend mandatory meetings
Perform any other duties as assigned by Recovery Specialist Supervisor, Nursing Staff, Nurse Manager, Program/Site Director
Recovery Specialist Qualifications
Clear All
0 Payment Recovery Specialist jobs found in Brockton, MA area