Prochant is seeking an Infusion Reimbursement Manager to work remotely. The Infusion Reimbursement Manager is responsible for managing the billing and collection function for all payer groups including Medicare / Medicaid. Responsible for escalating billing and/or collection issues. This is a highly collaborative role and the ideal candidate can both manage the day-to-day reimbursement as well as document and train other staff.

Essential Duties & Responsibilities

• Performs and manages 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
• Monitors cash flow, days sales outstanding (DSO), and bad debt losses for payer segment by business to ensure profitability measures are met and maintained.
• Monitors billing requirements and receivables pursuant to contracts with third party payers or government programs.
• Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices.
• Manages and analyzes account summaries of outstanding receivable balances for negotiations or settlements.
• Revenue review and profitability reporting for accurate margins on a daily, weekly, monthly basis.
• Complete Month end required activities per company deadlines
• Reviews/statuses adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies.
• Acts 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.
• Provides 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.
• Supports broader reimbursement team in the formulation of strategies relating to reimbursement management.
• Monitors 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