Company: American Addiction Centers
Posted on: May 3, 2021
If you are searching for a fulfilling place to develop your career
and an opportunity to make a difference in helping others, then
keep reading on. Here at AAC, we have a progressive culture; we
listen to your ideas, value a work/life balance, invest in
education, and we foster trust and respect for all individuals. Our
exceptional comp and strong benefits include company matching 401K,
medical, dental, vision and life insurance. We are looking for our
future leaders, who are not only going to fill the qualifications
for this job description, but who are going to exceed expectations.
Be a part of a team whose mission is to provide quality, compassionate, and
innovative care to adults struggling with addiction and
co-occurring mental health disorders.Our purpose and passion
are to empower patients, their families, and our communities by
helping individuals achieve recovery and optimal wellness of the
mind, body, and spirit.
The Director of Business Service provides leadership and effective
and efficient management of financial services and utilization
review in the organization. The Director of Business Services will
oversee the Business office and Utilization Review Department Staff
and functions. DBS will determine and explain clients financial
responsibility and ensure the highest reimbursement assumed for
render services through insurance authorizations, private admission
and TPA funding types. Ensure funds are properly recorded,
processed and deposited. The DBS will delegate case load and ensure
the clients are covered at the appropriate level of care. This
position will provide day to day supervision of the utilization
review department, business office, administrative assistant and
the billing/data entry assistant which includes monitoring
workflow, time & attendance, and training of new employees. This
position requires the ability to independently manage all
network-related, payor- specific admission performance metrics.
Identify root cause issues related to extended care and
reimbursement, identify solutions and present meaningful
Duties and Responsibilities:
To perform this job successfully, an individual
must be able to perform each essential duty
requirements listed below are representative of the knowledge,
skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
Monthly Reporting Cash Audit, Authorization Denial
Create payment list for clients missing payments on
Set up payment arrangements for past due balances.
Verify new benefits for clients via online and phone.
Review and process refund request for the facility.
Update UR census data with new admissions and level of
Review Financial form list/ Complete/Explain financial forms for
all new clients.
Manage the client prescription and personnel spending
Run payment records and reconcile weekly payments.
Review client insurance accounts for plan information.
Provide benefit consultation to clients.
Answer incoming statement calls from discharged client regarding
Pre-certify insurance clients by completing reviews as needed with
insurance companies to extend the stay of client in
Work with Clinical and Client Care Teams to communicate insurance
case managers request for specific treatment, followups, and
Communicate authorizations to clinical team
Prepare for weekly meetings to discuss appropriate discharge dates
based on authorizations.
VA admission review for RES/Quality
Complete Financial Covered-Through dates in SalesForce
VA Rx log and audit quartlerly report analysis
Create TEP and TEC SalesForce new charges and payments
Assist clients making COBRA payments/ monthly
Complete third level appeals to overturn denials
Reconcile Aura Spending Accounts
Review & Reconcile Refund, Patient Billing Accounts, Cash
Update benefit and demographics information in
End of Year Reverifications
Review & Delegate BO Task- COB, AOB, ACA, EV
Participate in leadership meetings as required.
Process and review all facility refund request for
Review each level of care with Clinical Director for each
Perform research analytics on past claims, authorization, payors
Continued learning education and update on all payor
Exude excellent professional communication abilities, at all levels
within the organization and patients at all times
Make discharge recommendations with Ur Director based on financial
Work with UR department to ensure that authorizations are in the
system timely and accurately.
Update all funding type when client conversion has been
Review and approve all private negations for extended
Provide oversite to the facility supply management outside of
maintenance, housekeeping and nursing needs
Management ONLY Essential Job Duties and
(please mark N/A if not applicable)
Responsible and accountable for managing direct reports
Preparation and presentation of performance evaluations
Provides objective feedback to employees
Makes appropriate compensation recommendations, if
Provides appropriate training for department and hold staff
accountable for attending required training
Provide actionable coaching solutions to the correct process,
procedure and best practices
Holds interviews for vacant positions and makes appropriately
selects candidates to fill open positions
Monitors adherence to company and department policies, procedures
Creates and supports a positive, professional, team-oriented,
harassment free work environment by understanding and complying
with the companys policies
Responsible for verifying and approving UR/ BO Department time
records in the time & attendance system. This includes entering
time edits submitted by the employees, approving PTO, and approving
the timecard at the end of each pay period.
Work with HR Director to control overtime and manage employee
Collaborate with CEO for reimbursement improvements
Lead the UR meetings when Facility CEO is unavailable
Completes UR/BO Competencies
Provide ongoing training and resources to supervised
Facility-Specific Duties &
Follow up with UR team on missing authorization and new
Weely UR/LOC Clinical Meeting
Bachelor's Degree in Business Administration, and/or Nursing or
Mental Health License preferred with combined five years sales
3-5 years high-volume sales/collections experience and
understanding of KPIs including cash collected, conversion rates,
3-5 years supervisory/management experience
Business/ Industry Knowledge: Minimum of 2-5 years of direct
industry experience negotiating provider contracts and/or provider
relations. Strong understanding of health care network product
spectrum and contracting, reimbursement methodologies including
advanced knowledge of value-based designs. Must have strong
knowledge of claim coding (CPT/DRG, etc.), provider networks,
benefit designs, healthcare products/funding, medical management
programs, authorization and financial acumen.
Strong communication skills: Able to articulate (verbally and
written) complex business results, issues and strategies in a
clear, concise and confident manner to all levels and positions of
an organization (internal and external).
Relationship management: Demonstrated relationship management
skills at the senior level; capacity to quickly build and maintain
credible relationships at varying levels of the organization
Strategic Thinking: Must have demonstrated ability to think
strategically in an independent manner and out of the box versus
accepting the status quo, with minimal supervision.
Technical Skills: Must possess strong technical skills in Microsoft
Office Applications (Excel, Word, PowerPoint) as well as experience
using analytic/reporting applications
Ability to establish performance targets and history of achievement
Ability to multi-task and successfully prioritize
Willingness and ability to work in a fast-paced working environment
over an extended period of time.
AAC is committed to principles of equal opportunities for all
employees. The Company will provide reasonable accommodations that
are necessary to comply with State and Federal disability
- Ability to
sit, use hands and fingers, talk or hear, and smell continually.
Ability to stand, walk and reach frequently. Ability to climb or
balance, stoop, kneel, or crouch occasionally.
- Ability to
frequently lift and carry up to 10 lbs. and occasionally lift and
carry up to 25 lbs.
- Close vision
required to see computer monitor, read documents, and operate copy
and fax machine. Distance vision required to drive an automobile,
if driving is a requirement of the job.
environment is indoors and climate controlled. Occasionally exposed
to outdoor weather conditions.
- Moderate noise
levels as found in a business office with computer printers,
households with TVs and dishwashers, and driving light
American Addiction Centers is an equal opportunity employer.
American Addiction Centers prohibits employment practices that
discriminate against individuals or groups of employees on the
basis of age, color disability, national origin, race, religion,
sex, sexual orientation, pregnancy, veteran or military status,
genetic information or any other category deemed protected by state
and/or federal law.
Keywords: American Addiction Centers, Hollywood , Director, Other , Hollywood, Florida
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