Reimbursement Manager

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

📋 Description

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

• Determine the root causes of denials and underpayments while implementing process enhancements.

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

• Track clean claim rates, denial rates, collection rates, and AR aging, providing trend reports to leadership.

• Supervise, mentor, and develop the billing and collections team.

• Establish performance objectives for individuals and the team.

• Ensure adherence to payer contracts, coding standards, HIPAA, CMS regulations, and other applicable laws.

• Generate monthly reports and forecasts regarding revenue cycle performance.

• Conduct audits of billing practices and implement quality control measures.

• Report directly to the Director of Revenue Cycle.

⛳️ Requirements

• A bachelor’s degree is preferred.

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

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

• Familiarity with billing/EHR systems and clearinghouses.

• Strong analytical capabilities.

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

🏝️ Benefits

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

• Short and long-term disability coverage.

• 401(k) matching.

• 15 days of paid time off (PTO).

• Competitive paid parental leave.

• Flexible return-to-work policy.

• Opportunities for professional development.

• Flexible remote work arrangement.