Infusion Reimbursement Manager

2 weeks ago


Charlotte, United States Prochant Full time

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 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 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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