Reimbursement Manager

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

📋 Description

• Oversee the collections process for payer balances, establishing targets for days sales outstanding (DSO) and aged accounts receivable (AR).

• Analyze root causes of denials and underpayments; implement process enhancements to minimize recurring challenges.

• Manage comprehensive billing operations, which includes charge capture, claims submission, and denial management.

• Track key performance indicators (clean claim rate, denial rate, collection rate, AR aging) and communicate trends to leadership.

• Lead, mentor, and develop the billing/collections team; establish performance objectives for both individuals and the team.

• Ensure adherence to payer contracts, coding standards, and relevant regulations (such as HIPAA and CMS guidelines).

• Generate monthly reports and forecasts regarding revenue cycle performance.

• Conduct audits and ensure quality control related to billing practices.

• Report directly to the Director of Revenue Cycle.

⛳️ Requirements

• A bachelor's degree is preferred.

• A minimum of five (5) years of experience in collections, billing, and/or cash posting in a specialty infusion or oncology healthcare environment.

• In-depth understanding of payer requirements, claims processing, and denial management.

• Proficient in billing/EHR systems and clearinghouses, with strong analytical capabilities.

• Exceptional leadership, communication, and problem-solving abilities.

🏝️ Benefits

• Medical, dental, and vision insurance through our employer-sponsored plan.

• Coverage for short and long-term disability.

• 401(k) plan with matching contributions, as we are an early-stage startup!

• 15 days of paid time off (PTO) — we encourage you to utilize it!

• Competitive paid parental leave and a flexible return-to-work policy.

• Opportunities for professional development.