Infusion Collections Manager

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

📋 Description

• Manage collection activities related to accounts receivable across various site locations, payors, and therapies.

• Track aging reports and key AR metrics to identify trends, risks, and opportunities for enhancement.

• Ensure proper research and resolution of accounts, addressing billing errors, short payments, overpayments, denials/rejections, unpaid claims, and cash application discrepancies.

• Supervise the appeals process and payer follow-up activities.

• Review and authorize potential adjustments and refund requests.

• Ensure that phone conversations and collection activities are accurately recorded in company systems.

• Detect trends in payer denials, payment delays, and billing issues, and collaborate with billing and revenue cycle teams to implement corrective actions.

• Ensure adherence to regulations, payer requirements, and company policies.

• Resolve escalated account issues involving insurance companies, patients, and company staff.

• Prepare reports and communicate collection performance, risks, and opportunities for improvement to leadership.

• Participate in the recruitment, onboarding, and training of collection personnel.

• Utilize payer portals, electronic tools, and internal systems to monitor claim status and address outstanding balances.

• Support payer projects, audits, and improvements in the collections or reimbursement processes.

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

• Supervise, mentor, and develop collection specialists.

• Assign tasks and monitor workload to ensure timely account follow-up.

• Conduct performance evaluations and provide feedback to staff.

• Escalate and resolve complex collection issues, payer disputes, and account resolution challenges.

• Perform additional duties as assigned.

⛳️ Requirements

• Home infusion collections and supervisory experience are mandatory.

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

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

• A High School Diploma or GED is necessary.

• 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, identify trends, and develop strategies to enhance collections performance and reduce AR days.

• Excellent analytical, mathematical, and written communication skills.

• Strong interpersonal, leadership, and organizational skills, with the capability to collaborate 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 bonuses.

• Paid time off.

• Great company culture.

• Annual merit-based increases.

• No weekends or holidays.

• Paid parental leave options.

• Affordable medical, dental, and vision insurance plans.

• Company-paid disability and basic life insurance.

• HSA and FSA (including dependent care) options.

• Education assistance program.