Manager of Infusion Billing and Reimbursement

2 weeks ago


Charlotte, North Carolina, United States Prochant US Full time
Position Overview

Prochant is in search of an Infusion Reimbursement Manager to operate remotely. This role is pivotal in overseeing the billing and collection processes across various payer groups, including Medicare and Medicaid. The Infusion Reimbursement Manager will also address and escalate any billing or collection challenges. This position requires a collaborative approach, as the ideal candidate will manage daily reimbursement tasks while also training and documenting processes for other team members.

Key Responsibilities
  • Oversee and execute daily reimbursement operations from service delivery to payment collection across all payer categories, adhering to specific job functions.
  • Track cash flow, days sales outstanding (DSO), and bad debt losses for each payer segment to ensure profitability targets are achieved.
  • Review billing requirements and receivables in accordance with contracts established with third-party payers or government programs.
  • Ensure adherence to federal, state, and local regulations, third-party agreements, company policies, and general accounting standards.
  • Analyze account summaries of outstanding receivables for negotiation or settlement purposes.
  • Conduct revenue assessments and profitability reporting to maintain accurate margin calculations on a daily, weekly, and monthly basis.
  • Complete month-end activities as per company timelines.
  • Evaluate adjustments to claim balances and manage delinquent account transfers to collection agencies in line with company protocols.
  • Serve as the primary contact for escalation issues related to unresolved deductions on payments from payers or non-compliance with contract terms, as well as for billing and collections inquiries.
  • Provide insights on procedures, develop strategies, and implement new techniques to minimize errors, enhance cash flow, and reduce avoidable bad debt losses, including recommending changes to billing practices and documentation.
  • Support the broader reimbursement team in developing strategies for effective reimbursement management.
  • Assist in the training and onboarding of new staff members.
  • Perform additional duties as assigned.
Qualifications

To excel in this role, candidates must demonstrate the ability to fulfill each essential duty effectively. The qualifications outlined below represent the necessary knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Education and Experience
  • A minimum of 5 years of experience in home infusion billing and collections is required.
  • Strong understanding of financial reporting, HIPAA regulations, and federal, state, and local laws pertaining to healthcare providers, billing, and collections.
  • Proven track record of taking initiative and executing processes that yield expected results.
  • Experience in analyzing and reporting data to identify issues, trends, or exceptions to drive improvements and solutions.
  • Demonstrated ability to provide excellent customer service to both internal and external stakeholders, meeting quality service standards and evaluating customer satisfaction.
  • Familiarity with CPR+, CareTend, or Brightree systems is preferred.
  • Proficient in Excel, Outlook, and Word.
Benefits

Prochant offers an exceptional benefits package, reflecting our commitment to employee well-being. Our comprehensive benefits include:

  • Health Insurance
  • Gap Insurance
  • Dental Insurance
  • Vision Insurance
  • Short-Term and Long-Term Disability (company-paid)
  • Term Life Insurance (company-paid, with options for additional coverage)
  • A full suite of CHUBB supplemental insurance plans, including Disability Income, Level Term Life, Accident Insurance, and Critical Illness Insurance
  • Floating holidays and paid time off
  • 401K plan with company matching


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