What are the responsibilities and job description for the ADR Specialist position at PACS?
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! 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.
- Retirement Planning : Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
- Support When You Need It : Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges. 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 us at PACS and take advantage of a workplace that truly values you!
