Recovery Specialist remote jobs - 23 jobs

Insight Global is seeking a Recovery Specialist to join their team in Harrisburg, PA. The ideal candidate will work onsite for the first 90 days and then transition to a fully remote role. Equipment will be provided, but candidates must have a private workspace (a teleworker walkthrough will be scheduled via MS Teams to verify the setup) Responsibilities: Resolve outstanding balances related to healthcare (medical, ambulance) and government accounts (e.g., past-due taxes, parking tickets, court costs, utilities, water bills, clerk of courts, tolls) Aim for one-call resolution whenever possible - 22 calls per hour (wrong numbers, hangups count), less than 25% wrap time (from the time the hang up to next call), 85% of dialer (calculated by how long you are on the clock, and in system) Utilize an in-house collections system - user friendly Handle challenging customer interactions professionally We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements Requirements: High School Diploma or GED Strong communication skills and openness to constructive feedback Customer service skills Bachelor's degree Call center experience

About Ossium Ossium's mission is to improve the health, vitality, and longevity of human beings through bioengineering. We develop, manufacture, and bank cell therapy products that apply the power of stem cell science to revolutionize treatment for patients with blood, immune, and orthopedic diseases. At Ossium, we empower our employees, maintain the highest standards of operational excellence, and are a force for good. About Ossium Health Ossium Health's mission is to improve human health, vitality, and longevity through bioengineering. We develop, process, and bank cell therapy products that harness the power of stem cell science to transform treatment for patients with blood and immune diseases. At Ossium, we empower our employees, uphold the highest standards of operational excellence, and strive to be a force for good in the world. About the Role The Tissue Recovery Specialist is an independent contractor role supporting Ossium Health's vertebral body recovery program. Tissue Recovery Specialists are engaged when additional support is required to ensure timely donor recovery. This is a unique level role for an individual with operating room or tissue recovery experience. Key Responsibilities Respond promptly to Ossium communications regarding donor recovery availability Perform vertebral body recovery immediately following organ procurement or when permitted Develop in-depth knowledge of Ossium Health and recovery partner protocols to consistently ensure high quality performance Travel primarily by car, using either your own vehicle or a recovery partner's vehicle if permitted, and potentially by plane to designated facilities where organ procurement is performed Coordinate closely with Organ Procurement Organization (OPO) staff Be available to recover a minimum of 4 cases per month to maintain competency level Document, recover, package, and personally deliver recovered tissue to Ossium's processing facility in Indianapolis Represent Ossium Health with professionalism to partners and clinical staff Consistently adhere to all safety standards, including proper use of PPE This is not an on-call position. You will only be contacted when recovery coverage is needed. Upon notification, you may choose to accept the case if you are available to arrive within the required timeframe. The Tissue Recovery Specialist reports directly to the Manager of Recovery Services. Required Qualifications Experience working in an OPO (organ, tissue, ocular recovery) or hospital operating room (OR) setting Ability to reliably travel (drive/fly) with limited notice (typically under 6 hours) primarily within the Indianapolis Metro area, while also being able to travel to other locations within Indiana; must possess valid driver's license Flexibility to work outside standard business hours (evenings, nights, weekends, or holidays) as needed Proficiency in recovery techniques with strong attention to aseptic practice Strong knowledge of anatomy and medical terminology Excellent communication skills with a professional, approachable demeanor Reliability, responsiveness, and attention to detail Employment offers are contingent upon successful completion of a background check and reference verification. Preferred Qualifications 2+ years of organ, tissue, ocular recovery, or hospital OR experience Associate's degree in a science or healthcare-related field Certified Tissue Bank Specialist (CTBS) Physical Requirements Training in bloodborne pathogen safety required (Hepatitis B vaccination available) Ability to work aseptically in controlled environments Comfort working around biohazardous materials and chemicals Ability to lift, push, pull, or carry up to 50 lbs Manual dexterity to handle surgical instruments, tools, and recovery equipment. Ability to sit, stand, walk, climb, stoop, kneel, crouch, and reach as needed during recoveries Ossium Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status, sexual orientation, gender identity, gender expression, or any other protected characteristic. Our Equal Employment Opportunity Policy Statement and the Know Your Rights: Workplace Discrimination is Illegal Poster reaffirm this commitment. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. If reasonable accommodation is needed, please contact our People Team at ************************ or ************. Ossium Health complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities. Principals / direct applicants only please. Recruiters, please do not contact this job poster. Equal Opportunity Employer/Veterans/Disabled

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Why you should join our At-Bay Security team: At-Bay is a fast-growth InsurSec company (Insurance x Cybersecurity) on a mission to bring innovative products to the market that help protect small businesses from digital risks. As an InsurSec provider, we uniquely combine insurance with mission-critical security technologies, threat intelligence, and human expertise, to bridge the critical security capability gap that exists among SMBs in the community. We believe InsurSec is an $80B market opportunity and we are excited to introduce our Senior Incident Response Recovery Specialist role to the security team in order to help expand our reach and influence in the business and security community, of which we serve 40,000 customers. The Role: We seek an experienced Incident Response Recovery Specialist to join the At-Bay Response & Recovery team. The Senior DFIR Recovery Specialist will support the Response & Recovery remediation team and report to our Incident Response Engineer. Responsibilities: Accountable for overseeing, measuring, and driving efforts to systematically increase the maturity and effectiveness of cyber security incident response and recovery processes, setups, and controls for At-Bay's Response and Recovery Team. Gains and helps maintain an end-to-end understanding of relevant client landscape (networks, endpoints, platforms, applications, dependencies, cloud services, on-premise setups, etc.). Engages with global and local operational Security & IT teams, collaborates closely with all relevant functions across the client base, and consults with external experts & stakeholders. Provides deep security expertise in the context of reviews of detection measures, post-mortem analysis of cyber incident responses, and IT recovery exercises; supports and helps coordinate major real cyber security events. Provides assurance & evidence for the formal security control objectives in this area and contributes accordingly to the overall needs of At-bay's clients. Identifies gaps in detection, response, recovery controls, and details and drives security risk reduction activities. In this role, we value: Great educational background, preferably in the fields of computer science or engineering for technical project managers. Proven working experience as a project administrator in the information technology sector. Solid technical background, with understanding or hands-on experience in Windows, Linux, and OSX Excellent client-facing and internal communication skills. Excellent written and verbal communication skills. Solid organizational skills, including attention to detail and multi-tasking skills. Required Skills: Play a key role in post-breach firewall reconfiguration, including rule audits, segmentation updates, and blocklist implementations to harden perimeter defenses. Collaborate with threat intel and SOC teams to develop and deploy IOCs and custom firewall rulesets (e.g., Palo Alto, Fortinet, Cisco ASA) during active incident response. Create and execute firewall recovery workflows to ensure secure rollback and containment during ransomware and APT-level incidents. Install/Replace, configure, and optimize network hubs, routers, and switches (e.g., higher-level protocols, tunneling). Develop and implement network backup and recovery procedures. Diagnose network connectivity problems. Implement new system design procedures, test procedures, and quality standards. Install and maintain network infrastructure device operating system software (e.g., windows OS, virtual machines). Integrate new systems into existing network architecture. Monitor network capacity and performance. Skill in writing code in a currently supported programming language (e.g., Java, Python, PowerShell). Patch network vulnerabilities to ensure that information is safeguarded against outside parties. Provide feedback on network requirements, including network architecture and infrastructure. Test and maintain network infrastructure, including software and hardware devices. An understanding of forensic data collection tools and procedures is a plus. Work location: USA, Remote ( EST ) Travel 50-75% to client locations primarily along the East Coast; flexibility to travel nationwide as needed. Our estimated base pay range for this role is $115,000 - $130,000 per year. Base salary is determined by a variety of factors including but not limited to market data, location, internal equitability, domain knowledge, experiences and skills. In general, if the position sparks your interest we encourage you to apply - our team prioritizes talent. #LI-CK1

Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We are looking for individuals who: Reside in one of the following states: AL, AK, AZ, CA, CO, FL, GA, KS, ID, IN, MD, MI, NM, NY, NC, NV, OH, OR, PA, TN, TX, WA, and WY Have a peer certification active and in good standing in your state of residence Have a minimum of 2 years of documented, professional experience working in peer support (this is a hard requirement; applications without this experience clearly shown on the resume will not be considered) 1 or more years experience navigating adjunctive OUD treatment resources and referral processes Have a minimum two years of recovery from lived-experience in substance use and/or co-occurring mental health disorders (self-attested) Are interested in full-time work (40 hours a week) About the role A Peer Recovery Specialist (PRS) is a person who uses their direct or indirect experience of recovery from mental illness, substance use disorders, and/or significant trauma, combined with skills learned in formal training, to deliver peer-based recovery support services with a focus on improving overall health and well-being, and quality of life. Success in this role Patient Support - 60% Conduct patient engagement in accordance with Boulder Peer Recovery Specialist policies and procedures Assist patients in identifying barriers to achieving sustained recovery and support by empowering them in the recovery management process Assess patient progress, functioning, and willingness to engage peer services in collaboration with patients and Care Team members, identifying options for short/long-term whole-health goals, and recovery plans Educate on and liaise for patients available community resources, and the Boulder Care program components Facilitate placement for higher levels of care as needed while maintaining contact with patients to enable continuity and streamline care transitions Escalate any crisis situations involving patients and ethical breaches involving staff to appropriate personnel/agencies in a timely manner in accordance with Boulder policies & procedures Assume primary role in providing social/emotional support and non-emergency-based, external, recovery-relevant resources to patients Maintain clear and proactive follow-up communication with patients and providers, delivering patient outcomes reports to Care Team members Report situations to appropriate person/s that fall under Mandatory Reporting, Duty to Warn, and the U.S. Drug Enforcement Agency's purviews (i.e. when patient reports they are not using any of their medicine prescribed by Boulder personnel) Represent and advocate for the patient population in company matters affecting current and prospective Boulder patients, their families, and their communities Community Resources & Continuing Education- 20% Maintain a working knowledge of appropriate services and resources (e.g., housing, transportation, community-based recovery resources) to reduce the likelihood of health setbacks and promote improved health and well being; share resources with PRS teammates and other company personnel Assist with managing patients' appointments and care-related tasks with Care Team members and referrals outside of Boulder Care Participate in continuing education to further advance the practice of peer-assisted recovery as a profession Administrative Responsibilities - 20% Prioritize self-and-mutual-care Attend weekly 1:1 and monthly group supervision sessions Attend team meetings and trainings as requested/ scheduled Regularly review general patient status with other members of patient's Care Team; maintain confidence & trust w/ patients by only documenting and disclosing sensitive patient information with patients' permission, except in cases of imminent harm or when patient discloses they are not using any of their Boulder-prescribed medication Requirements for the role 2+ years of documented, professional experience working in peer support (required) 1+ years experience navigating adjunctive OUD treatment resources and referral processes Peer certification in state of residence - active and in good standing where available - is required Certification as a National Certified Peer Recovery Support Specialist (NCPRSS) through NAADAC, the Association for Addiction Professionals, is expected within 9 months of hire Must have a minimum two years of recovery from lived-experience in substance use and/or co-occurring mental health disorders (self-attested) Strong preference for individuals utilizing underrepresented pathways/modes of substance use and/or mental illness recovery, and those with direct experience of marginalization from systems of care for mental health and/or substance use recovery (personal identification with any illness/recovery not required) A high degree of trustworthiness, integrity and professionalism and a relentless focus on patient confidentiality through compliance with HIPAA, 42 CFR Part II, the Boulder Care Code of Conduct and Code of Ethics, Boulder Care Standard Operating Procedures Ability to reach out to local and regional resources or recovery centers and help individuals leverage those resources Exceptional written and verbal communication Team-focused; effective collaboration. Serves both the team and the customer at a consistently high level Demonstrates problem-solving and analytical skills appropriate for the position Demonstrates high ethical standards of behavior Maintains composure under pressure Regularly demonstrates Boulder's core values Nice to have but not required Familiarity with medicaid billing in Oregon and/or Washington State Work environment This is a fully remote role but we are currently only hiring candidates who reside in: AL, AK, AZ, CA, CO, FL, GA, KS, ID, IN, MD, MI, NM, NY, NC, NV, OH, OR, PA, TN, TX, WA, and WY Employees are required to have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards Expected hours of work This is a full-time non-exempt position expected to work 40 hours a week, Mon-Fri 9:00am-6:00pm Pacific Time/Eastern Time depending on your state of residence. Team members may work with their managers to adjust work hours to suit the needs of the position. Team members may be asked to work additional days as work demands require. Compensation The starting pay range for this position is $24.52 - $28.32 an hour, commensurate with experience, and is eligible for our comprehensive benefits package below. Hiring Process First Interview (30-min phone) Panel Interview (60-min video) Employment Offer, Background Check, and Reference Checks Hiring Timeline: Final hiring decisions are targeted for late Q2 NOTE: As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references. By applying, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references. We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required. Some of Boulder's amazing benefits for regular, full-time employees Medical coverage through Regence Dental, Vision and Short Term Disability coverage through Metlife and VSP 4 weeks of PTO accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment Sick leave accrued at 1 hr for every 30 hrs worked Mental Health Services via Regence, Doctors on Demand, and EAP for continuous care Supplemental mental health services through Talkspace for care needed following tough patient visits 9 Paid Holidays per year 12 weeks of 100% paid parental leave for the birth or adoption of a child (eligible after 6 months of employment) 401(k) retirement savings Remote friendly with hardware provided to complete your work duties Our mission Based in science: Boulder care teams provide comprehensive, evidence-based treatment that is tailored to each individual's unique needs and goals. Breaking down barriers: Boulder's proprietary technology suite makes care accessible, and convenient through secure video, phone, and messaging. We're reaching rural communities of the country, where more than 80% of people have little to no access to buprenorphine (Suboxone) prescribers. Boulder provides low-threshold care that is inclusive, empowering, and heavily influenced by participants' stated preferences and goals. Wherever our patients wish to go, we're grateful to go there together. Grounded in empathy: Our care is science-based and rooted in harm reduction. Patients, peer recovery specialists, and clinicians make important decisions together. Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!

Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Weekend Peer Recovery Specialist (in office) to join our frontline crisis intervention team in Easton, MD. The available shift is weekends, 8:00am to 8:00pm. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment Assist in performing an on-scene assessment and treatment plan Effectively perform crisis intervention including de-escalation, crisis planning and implementation Design appropriate referral recommendations using available community resources Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment Document interactions using CRS procedures Must be able to work with first responders and be aware of first responder culture Must familiarize oneself with police codes and language Participate in and complete all required trainings Provide education in the community about the agency and all components of CRS when needed Check work e-mail at the beginning and end of each shift Provide mentoring to interns and new staff Other duties as assigned What We Require: Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: Pay Ranges: Uncertified: $17.75-20.50 per hour Certified: $20.50-$24.50 per hour Available shift weekends, 8:00am to 8:00pm. Financial assistance for Peer Recovery certification fees. Opportunities for career growth, training and development, flexible work schedules and shifts. Company-wide wellness program. Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We are looking for individuals who: Reside in one of the following states: AL, AK, AZ, CA, CO, FL, GA, KS, ID, IN, MD, MI, NM, NY, NC, NV, OH, OR, PA, TN, TX, WA, and WY Have a peer certification active and in good standing in your state of residence Have a minimum of 2 years of documented, professional experience working in peer support (this is a hard requirement; applications without this experience clearly shown on the resume will not be considered) 1 or more years experience navigating adjunctive OUD treatment resources and referral processes Have a minimum two years of recovery from lived-experience in substance use and/or co-occurring mental health disorders (self-attested) Are interested in full-time work (40 hours a week) About the role A Peer Recovery Specialist (PRS) is a person who uses their direct or indirect experience of recovery from mental illness, substance use disorders, and/or significant trauma, combined with skills learned in formal training, to deliver peer-based recovery support services with a focus on improving overall health and well-being, and quality of life. Success in this role Patient Support - 60% Conduct patient engagement in accordance with Boulder Peer Recovery Specialist policies and procedures Assist patients in identifying barriers to achieving sustained recovery and support by empowering them in the recovery management process Assess patient progress, functioning, and willingness to engage peer services in collaboration with patients and Care Team members, identifying options for short/long-term whole-health goals, and recovery plans Educate on and liaise for patients available community resources, and the Boulder Care program components Facilitate placement for higher levels of care as needed while maintaining contact with patients to enable continuity and streamline care transitions Escalate any crisis situations involving patients and ethical breaches involving staff to appropriate personnel/agencies in a timely manner in accordance with Boulder policies & procedures Assume primary role in providing social/emotional support and non-emergency-based, external, recovery-relevant resources to patients Maintain clear and proactive follow-up communication with patients and providers, delivering patient outcomes reports to Care Team members Report situations to appropriate person/s that fall under Mandatory Reporting, Duty to Warn, and the U.S. Drug Enforcement Agency's purviews (i.e. when patient reports they are not using any of their medicine prescribed by Boulder personnel) Represent and advocate for the patient population in company matters affecting current and prospective Boulder patients, their families, and their communities Community Resources & Continuing Education- 20% Maintain a working knowledge of appropriate services and resources (e.g., housing, transportation, community-based recovery resources) to reduce the likelihood of health setbacks and promote improved health and well being; share resources with PRS teammates and other company personnel Assist with managing patients' appointments and care-related tasks with Care Team members and referrals outside of Boulder Care Participate in continuing education to further advance the practice of peer-assisted recovery as a profession Administrative Responsibilities - 20% Prioritize self-and-mutual-care Attend weekly 1:1 and monthly group supervision sessions Attend team meetings and trainings as requested/ scheduled Regularly review general patient status with other members of patient's Care Team; maintain confidence & trust w/ patients by only documenting and disclosing sensitive patient information with patients' permission, except in cases of imminent harm or when patient discloses they are not using any of their Boulder-prescribed medication Requirements for the role 2+ years of documented, professional experience working in peer support (required) 1+ years experience navigating adjunctive OUD treatment resources and referral processes Peer certification in state of residence - active and in good standing where available - is required Certification as a National Certified Peer Recovery Support Specialist (NCPRSS) through NAADAC, the Association for Addiction Professionals, is expected within 9 months of hire Must have a minimum two years of recovery from lived-experience in substance use and/or co-occurring mental health disorders (self-attested) Strong preference for individuals utilizing underrepresented pathways/modes of substance use and/or mental illness recovery, and those with direct experience of marginalization from systems of care for mental health and/or substance use recovery (personal identification with any illness/recovery not required) A high degree of trustworthiness, integrity and professionalism and a relentless focus on patient confidentiality through compliance with HIPAA, 42 CFR Part II, the Boulder Care Code of Conduct and Code of Ethics, Boulder Care Standard Operating Procedures Ability to reach out to local and regional resources or recovery centers and help individuals leverage those resources Exceptional written and verbal communication Team-focused; effective collaboration. Serves both the team and the customer at a consistently high level Demonstrates problem-solving and analytical skills appropriate for the position Demonstrates high ethical standards of behavior Maintains composure under pressure Regularly demonstrates Boulder's core values Nice to have but not required Familiarity with medicaid billing in Oregon and/or Washington State Work environment This is a fully remote role but we are currently only hiring candidates who reside in: AL, AK, AZ, CA, CO, FL, GA, KS, ID, IN, MD, MI, NM, NY, NC, NV, OH, OR, PA, TN, TX, WA, and WY Employees are required to have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards Expected hours of work This is a full-time non-exempt position expected to work 40 hours a week, Mon-Fri 9:00am-6:00pm Pacific Time/Eastern Time depending on your state of residence. Team members may work with their managers to adjust work hours to suit the needs of the position. Team members may be asked to work additional days as work demands require. Compensation The starting pay range for this position is $24.52 - $28.32 an hour, commensurate with experience, and is eligible for our comprehensive benefits package below. Hiring Process First Interview (30-min phone) Panel Interview (60-min video) Employment Offer, Background Check, and Reference Checks Hiring Timeline: Final hiring decisions are targeted for late Q2 NOTE: As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references. By applying, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references. We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required. Some of Boulder's amazing benefits for regular, full-time employees Medical coverage through Regence Dental, Vision and Short Term Disability coverage through Metlife and VSP 4 weeks of PTO accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment Sick leave accrued at 1 hr for every 30 hrs worked Mental Health Services via Regence, Doctors on Demand, and EAP for continuous care Supplemental mental health services through Talkspace for care needed following tough patient visits 9 Paid Holidays per year 12 weeks of 100% paid parental leave for the birth or adoption of a child (eligible after 6 months of employment) 401(k) retirement savings Remote friendly with hardware provided to complete your work duties Our mission Based in science: Boulder care teams provide comprehensive, evidence-based treatment that is tailored to each individual's unique needs and goals. Breaking down barriers: Boulder's proprietary technology suite makes care accessible, and convenient through secure video, phone, and messaging. We're reaching rural communities of the country, where more than 80% of people have little to no access to buprenorphine (Suboxone) prescribers. Boulder provides low-threshold care that is inclusive, empowering, and heavily influenced by participants' stated preferences and goals. Wherever our patients wish to go, we're grateful to go there together. Grounded in empathy: Our care is science-based and rooted in harm reduction. Patients, peer recovery specialists, and clinicians make important decisions together. Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!

Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Weekend Peer Recovery Specialist (in office) to join our frontline crisis intervention team in Easton, MD. The available shift is weekends, 8:00am to 8:00pm. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: * Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment * Assist in performing an on-scene assessment and treatment plan * Effectively perform crisis intervention including de-escalation, crisis planning and implementation * Design appropriate referral recommendations using available community resources * Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly * Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment * Document interactions using CRS procedures * Must be able to work with first responders and be aware of first responder culture * Must familiarize oneself with police codes and language * Participate in and complete all required trainings * Provide education in the community about the agency and all components of CRS when needed * Check work e-mail at the beginning and end of each shift * Provide mentoring to interns and new staff * Other duties as assigned What We Require: * Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. * High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). * While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: * Pay Ranges: * Uncertified: $17.75-20.50 per hour * Certified: $20.50-$24.50 per hour * Available shift * weekends, 8:00am to 8:00pm. * Financial assistance for Peer Recovery certification fees. * Opportunities for career growth, training and development, flexible work schedules and shifts. * Company-wide wellness program. * Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Weekend Peer Recovery Specialist (in office) to join our frontline crisis intervention team in Easton, MD. The available shift is weekends, 8:00am to 8:00pm. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment Assist in performing an on-scene assessment and treatment plan Effectively perform crisis intervention including de-escalation, crisis planning and implementation Design appropriate referral recommendations using available community resources Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment Document interactions using CRS procedures Must be able to work with first responders and be aware of first responder culture Must familiarize oneself with police codes and language Participate in and complete all required trainings Provide education in the community about the agency and all components of CRS when needed Check work e-mail at the beginning and end of each shift Provide mentoring to interns and new staff Other duties as assigned What We Require: Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: Pay Ranges: Uncertified: $17.75-20.50 per hour Certified: $20.50-$24.50 per hour Available shift weekends, 8:00am to 8:00pm. Financial assistance for Peer Recovery certification fees. Opportunities for career growth, training and development, flexible work schedules and shifts. Company-wide wellness program. Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Full-Time Peer Recovery Specialists (in office) to join our frontline crisis intervention team in Centreville, MD. The available shift is 4:00pm to 12:00am. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment Assist in performing an on-scene assessment and treatment plan Effectively perform crisis intervention including de-escalation, crisis planning and implementation Design appropriate referral recommendations using available community resources Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment Document interactions using CRS procedures Must be able to work with first responders and be aware of first responder culture Must familiarize oneself with police codes and language Participate in and complete all required trainings Provide education in the community about the agency and all components of CRS when needed Check work e-mail at the beginning and end of each shift Provide mentoring to interns and new staff Other duties as assigned What We Require: Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: Pay Ranges: Uncertified: $17.75-20.50 per hour Certified: $20.50-$24.50 per hour Work Schedule: 4:00pm to 12:00am, Full Time Financial assistance for certification fees. No cost supervision for Peer Recovery certification. Opportunities for career growth, training and development, flexible work schedules and shifts. Company-wide wellness program. Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Full-Time Peer Recovery Specialists (in office) to join our frontline crisis intervention team in Centreville, MD. The available shift is 4:00pm to 12:00am. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment Assist in performing an on-scene assessment and treatment plan Effectively perform crisis intervention including de-escalation, crisis planning and implementation Design appropriate referral recommendations using available community resources Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment Document interactions using CRS procedures Must be able to work with first responders and be aware of first responder culture Must familiarize oneself with police codes and language Participate in and complete all required trainings Provide education in the community about the agency and all components of CRS when needed Check work e-mail at the beginning and end of each shift Provide mentoring to interns and new staff Other duties as assigned What We Require: Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: Pay Ranges: Uncertified: $17.75-20.50 per hour Certified: $20.50-$24.50 per hour Work Schedule: 4:00pm to 12:00am, Full Time Financial assistance for certification fees. No cost supervision for Peer Recovery certification. Opportunities for career growth, training and development, flexible work schedules and shifts. Company-wide wellness program. Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking a Full-Time Peer Recovery Specialists (in office) to join our frontline crisis intervention team in Centreville, MD. The available shift is 4:00pm to 12:00am. As a Peer Recovery Specialist, you will assess, evaluate, and perform crisis intervention techniques, and will develop a crisis plan for continuation of services related to individual clients. He or she will be responsible for all incident documentation and will be the on-site resource for any relevant clinical information, as well as the liaison for collaboration with other involved parties including families, friends, and other community providers (all under clinical supervision of an LCSW-C/LCPC). NOT A REMOTE POSITION. IN PERSON ONLY. What You'll Do: * Assist in performing a danger assessment, a crisis assessment, an environmental assessment upon entry to the community situation and lethality assessment * Assist in performing an on-scene assessment and treatment plan * Effectively perform crisis intervention including de-escalation, crisis planning and implementation * Design appropriate referral recommendations using available community resources * Address population of child, adolescent, adult, dual-diagnosis, co-occurring and elderly * Work with families and involved persons to de-escalate the situation, make a crisis plan, and enlist cooperation with recommended treatment * Document interactions using CRS procedures * Must be able to work with first responders and be aware of first responder culture * Must familiarize oneself with police codes and language * Participate in and complete all required trainings * Provide education in the community about the agency and all components of CRS when needed * Check work e-mail at the beginning and end of each shift * Provide mentoring to interns and new staff * Other duties as assigned What We Require: * Peer recovery certification or willingness to be certified. At least 2 years in full recovery and 5 years lived experience. Some college preferred. * High School Diploma or equivalent and at least one (1) year professional experience (experience working with children and families in a community-based program preferred). * While performing the duties of this job, the employee is regularly required to drive a company vehicle. The employee must possess a valid Driver's License, proof of current automobile insurance and may not have more than two (2) points on their driving record. What You'll Get: * Pay Ranges: * Uncertified: $17.75-20.50 per hour * Certified: $20.50-$24.50 per hour * Work Schedule: 4:00pm to 12:00am, Full Time * Financial assistance for certification fees. * No cost supervision for Peer Recovery certification. * Opportunities for career growth, training and development, flexible work schedules and shifts. * Company-wide wellness program. * Paid parental leave. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. Disclaimers: The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. The Santé Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, or disability status. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job. The Santé Group participates in E-Verify. ****************************************************************

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. **Required Qualifications** - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. **Preferred Qualifications** - Claims recovery experience. - Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.