Infusion Reimbursement Manager

Summary

Join Prochant as an Infusion Reimbursement Manager and work remotely! Manage billing and collections for all payer groups, including Medicare/Medicaid. This collaborative role requires daily reimbursement management, documentation, and staff training. You will monitor cash flow, DSO, and bad debt, ensuring profitability. Compliance with regulations and company policies is crucial. Analyze account summaries and provide revenue reporting. Act as the first point of contact for escalation issues and contribute to reimbursement strategy development. Assist with employee training and onboarding.

Requirements

• 5+ years of home infusion billing and collections experience
• 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

Responsibilities

• Perform and manage 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
• Monitor cash flow, days sales outstanding (DSO), and bad debt losses for payer segment by business to ensure profitability measures are met and maintained
• Monitor billing requirements and receivables pursuant to contracts with third party payers or government programs
• Ensure compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
• Manage and analyze account summaries of outstanding receivable balances for negotiations or settlements
• Provide revenue review and profitability reporting for accurate margins on a daily, weekly, monthly basis
• Complete Month end required activities per company deadlines
• Review/status adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies
• Act 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
• Provide 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
• Support broader reimbursement team in the formulation of strategies relating to reimbursement management
• Monitor 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

Preferred Qualifications

• CPR+, CareTend or Brightree systems experience
• Excel, outlook, word experience

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