Pyramid Healthcare

Counselor

• Provide high-quality, client-centered substance use counseling through:
• Facilitating individual, group, and family counseling sessions
• Conducting behavioral assessments and contributing to individualized treatment plans
• Completing accurate and timely clinical documentation in our electronic system
• Supporting aftercare planning and coordinating with community partners and providers
• Assisting with crisis intervention as needed
• Participating in team meetings, trainings, and clinical case discussions (virtually and onsite)
• Helping support a safe, structured, and therapeutic environment during onsite days

Substance Abuse Counselor

Manager

• Oversee Central Business Office (CBO) for all aspects of Revenue Cycle.
• Manage and control the billing process, including timelines of billing, collections, and systems management.
• Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc.
• Implement company policies and procedures into a steady flow of parent company protocol.
• Collaborate with the VP Revenue Cycle to report profitability of claims by insurance payers.
• Communicate with Senior Management concerning insurance, therapists, clients and or vendor concerns and difficulties.
• Reports on receivables status as required.
• Implement internal controls, create and mandate policies and procedures to ensure consistency and standardization for automated billing process in all offices.
• Review and document processes to maximize efficiencies of team tasks.
• Responsible for interviewing, hiring, evaluations and discipline up to and including promoting or discharging.
• Prepared daily, weekly, monthly and year end reports.
• Communicate with Site and Program Directors concerning any program changes or new programs at facility level.
• Direct contact with the insurance provider representative whenever there are claim disputes such as contract issues, non-par, large rejections, etc.
• Oversight of vendor relationships.
• Participate in payer’s meetings whenever required.
• Other Duties as deemed necessary

Revenue Cycle Manager

Medical Director

• Provide medical leadership and consultation to ACTT team members.
• Supervise and support mid-level prescribers, particularly in medication management and psychiatric treatment planning.
• Collaborate with agency leadership and ACTT team leads to ensure fidelity to ACTT standards and clinical best practices.
• Attend and contribute to daily team meetings to support client-centered care coordination.
• Accurately document services and treatment plans in the agency's Electronic Medical Record (EMR) system.
• Ensure compliance with all training, documentation, and regulatory requirements.
• Participate in the ongoing development of program procedures and service quality initiatives.

Medical Director – ACTT, Psychiatrist

• Verification of client’s insurance information.
• Upon admission to our program, determines what clients’ medical assistance status is. Identifies which clients need to apply and follows through with entire application process.
• Transmit client’s 3rd party payer information to pharmacy, lab and other outside providers for credits and/or adjustments.

Substance Abuse Counselor

Revenue Cycle Manager

Medical Director – ACTT, Psychiatrist

Financial Counselor