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Infusion Reimbursement Manager
5 months ago
Prochant is seeking an
Infusion
Reimbursement Manager
to work
remotely . The Infusion Reimbursement Manager is responsible for managing the billing and collection function for all payer groups including Medicare / Medicaid. Responsible for escalating billing and/or collection issues. This is a highly collaborative role and the ideal candidate can both manage the day-to-day reimbursement as well as document and train other staff.
Essential Duties & Responsibilities
Performs and manages the day-to-day reimbursement activities from delivery to payment process for all payer segments. This includes all aspects of the billing and collection functions as outlined in the individual job descriptions
Monitors cash flow, days sales outstanding (DSO), and bad debt losses for payer segment by business to ensure profitability measures are met and maintained
Monitors billing requirements and receivables pursuant to contracts with third party payers or government programs
Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
Manages and analyzes account summaries of outstanding receivable balances for negotiations or settlements
Revenue review and profitability reporting for accurate margins on a daily, weekly, monthly basis
Complete Month end required activities per company deadlines
Reviews/statuses adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies
Acts as the first point of contact for escalation issues from the service provider regarding unresolved unknown deductions on payments received from payer or failure of payer to comply with contract terms as well as for billing and collections issues/claims
Provides input regarding procedures, develop strategies and new techniques to eliminate errors, increase to cash flow, reduction in avoidable bad debt loss, including recommended changes to billing practices, forms etc
Supports broader reimbursement team in the formulation of strategies relating to reimbursement management
Monitors adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies
Assist with training or onboarding of new employees
Other duties as assigned
Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education And/or Experience
5+ years of home infusion billing and collections experience required
Knowledge of financial reporting, HIPAA guidelines, federal, state, and local regulations related to healthcare providers, billing and collections
Experience taking initiative and executing processes resulting in expected outcomes
Experience with analyzing and reporting data to identify issues, trends, or exceptions to drive improvement of results and find solutions
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
CPR+, CareTend or Brightree systems experience preferred
Excel, outlook, word experience
Benefits
Prochant offers some of the best benefits in the industry We take great care of our employees. Prochant's Fortune 500 level benefits package includes:
Health Insurance
Gap Insurance
Dental Insurance
Vision Insurance
Short Term / Long Term Disability (company paid)
Term Life Insurance (company paid, employee can elect additional)
Full suite of CHUBB supplemental insurance plans, including: Disability Income, Level Term Life, Accident Insurance, & Critical Illness Insurance
Floating holidays and paid time off
401K with company match
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