Remote Infusion Reimbursement Manager

Summary

Prochant is seeking a remote Infusion Reimbursement Manager to manage billing and collection functions for various payer groups, including Medicare/Medicaid. The ideal candidate will perform day-to-day reimbursement activities, monitor cash flow, ensure compliance with regulations, analyze account summaries, and provide input for improving billing practices. They should have at least 5 years of home infusion billing and collections experience, knowledge of financial reporting, HIPAA guidelines, and relevant regulations.

Requirements

• 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

Responsibilities

• Performs and manages the day-to-day reimbursement activities from delivery to payment process for all payer segments
• Monitors cash flow, days sales outstanding (DSO), and bad debt losses for payer segment by business to ensure profitability measures are met and maintained
• 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 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

Preferred Qualifications

CPR+, CareTend or Brightree systems experience preferred

Benefits

• 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