Infusion Collections Manager

This is a fully remote position, open to applicants in Texas.

📋 Description

• Manage collection activities pertaining to accounts receivable across various site locations, payors, and therapies to ensure accurate and timely payments.

• Track aging reports and key AR metrics to pinpoint trends, risks, and areas for enhancement.

• Ensure that assigned accounts are thoroughly researched and addressed, including the identification of billing errors, short payments, overpayments, denials/rejections, unpaid claims, and discrepancies in cash application.

• Oversee the appeals and payer follow-up processes to guarantee that deadlines are adhered to and the necessary documentation is submitted.

• Review and authorize potential adjustments and refund requests in compliance with company policies.

• Document all relevant phone conversations and collection activities clearly within company systems.

• Identify patterns in payer denials, payment delays, or billing issues and collaborate with billing and revenue cycle teams to implement corrective measures.

• Ensure that all collection activities align with federal, state, and local regulations, third-party payer requirements, and company policies.

• Collaborate closely with insurance companies, patients, and other personnel to resolve escalated account issues.

• Prepare reports and communicate the performance of collections, associated risks, and opportunities for improvement to leadership.

• Participate in the recruitment, onboarding, and training processes for collection staff.

• Utilize payer portals, electronic tools, and internal systems to track claims status and expedite the resolution of outstanding balances.

• Assist with special payer projects, audits, or process improvement initiatives related to collections and reimbursement.

• Remain updated on payer guidelines, billing deadlines, and appeal requirements.

• Supervise, mentor, and develop a team of collection specialists to ensure productivity, accuracy, and compliance with company policies and procedures.

• Assign and oversee workload, ensuring prompt follow-up on accounts receivable and payer issues.

• Provide training and ongoing support to staff regarding payer policies, appeal processes, and best practices in collections.

• Conduct regular performance evaluations and provide feedback to foster staff development and enhance performance.

• Act as a point of escalation for intricate collection issues, payer disputes, and challenges in account resolution.

• Perform additional duties as assigned.

⛳️ Requirements

• Prior experience in Home Infusion and Specialty Pharmacy is required.

• A minimum of 5 years of progressive healthcare collections or revenue cycle experience, including leadership or supervisory roles is necessary.

• High School Diploma or GED is required; an Associate’s or Bachelor’s degree in business, Healthcare Administration, or a related field is preferred.

• Proven experience in managing collections teams, including coaching, performance management, and workflow oversight.

• Strong understanding of healthcare billing, reimbursement processes, HCPC coding, and medical terminology.

• Experience with CPR+/CareTend systems is preferred.

• Demonstrated ability to analyze aging reports, recognize trends, and implement strategies to enhance collections performance and reduce AR days.

• Excellent analytical, mathematical, and written communication skills.

• Strong interpersonal, leadership, and organizational capabilities with a knack for collaborating across billing, reimbursement, and operations teams.

• Ability to prioritize tasks, solve problems, manage multiple initiatives, and achieve departmental performance goals.

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.

🏝️ Benefits

• Competitive Wages

• 401(k) with a Match

• Referral Bonus

• Paid Time Off

• Great Company Culture

• Annual Merit Based Increases

• No Weekends or Holidays

• Paid Parental Leave Options

• Affordable Medical, Dental, & Vision Insurance Plans

• Company Paid Disability & Basic Life Insurance

• HSA & FSA (including dependent care) Options

• Education Assistance Program