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ADR Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Entry-level / graduate

Work from:

United States

Offer summary

Qualifications:

LVN degree or equivalent education, Proficient in Excel, Word, SharePoint, Healthcare experience preferred.

Key responsabilities:

Support and communicate ADR processes to staff
Post and maintain ADR tracking logs and data
Identify training needs related to ADR process
Report concerns to Quality Assurance Staff
Ensure compliance with ADR procedures

PACS SME https://www.pacs.com/

201 - 500 Employees

See more PACS offers

Job description

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and fun, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.

If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!

Note: This position is a full-time REMOTE role.

General Purpose

The primary purpose of your job position is to support, teach, monitor, and communicate with facility staff the risk from additional documentation requests and ensure the PACS ADR process is followed to minimize risk of recoupment from all payers. ADR Process covers requests and denials from all payers and includes probes, RAC’s , TPE’s, SMRC’s, UPIC’s, CERTs, ADR’s, etc.

Essential Duties

Routinely post ADR information to ADR Tracking log as it becomes available: New ADRs. Updates to ADRs, Resolved ADRs
Participate in Weekly ADR Review of all Sites with RN Compliance Nurse
Report unusual ADR notifications or concerns to QAS or SDOC
Troubleshoot ADR Access issues with PACS IT/Facility Team member
Post ADR Results to Reasons for Denials Log
Maintain Probes in Progress Spreadsheet and be able to provide data as needed
Maintain current ADR Regional Staff listing
Maintain Historical ADR Data on ADR Tracking Log
Maintain tracking of education on ADR Process
Identify ADR Training needs and report to QAS or SDOC
Maintain Vendor ADR Contacts
Ensure facilities are filling in their ADR files correctly
Ensure facilities post all new denial requests
Ensure facilities follow overall ADR process and notify all vendors when appropriate
Follow email trail closely to ensure no deadlines are missed

Qualification

Education and/or Experience LVN degree, BS, MS or AA degree, Proficient in computer skills such as inputting data into programs such Excel and Word, SharePoint, some exposure helpful to Net Health and Point Click Care.

Certificates, Licenses

Registrations LVN or other degree

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.

Our comprehensive benefits include:

Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.

PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.

Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.