Experienced Revenue Cycle Manager - Home Infusion

Hirebridge; Charlotte (NC); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking a Revenue Cycle Manager for a 100% remote position. The role involves overseeing collections operations, managing denials, and ensuring compliance with regulations. The ideal candidate will have strong communication skills and a comprehensive understanding of Revenue Cycle Management functions. This position offers excellent benefits and growth opportunities.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

Annual Bonuses

401K Plan with Employer Match

Hybrid Work Options

Growth Opportunities

Qualifications

• 5-7 years of healthcare industry experience required.
• 3-5 years of Revenue Cycle Management experience required.

Responsibilities

• Oversee collections operations including contract analysis and denials.
• Prepare and analyze financial reports and ensure compliance.
• Supervise collection staff and manage scheduling.

Skills

Communication

Leadership

Integrity

Attention to Detail

Education

High school diploma or GED

Bachelor’s degree

Tools

ICD-9

ICD-10

Microsoft Office

Job description

Experienced Revenue Cycle Manager - Home Infusion

This is a 100% remote position - please apply only if you have 3-5 years of Medical Insurance Revenue Cycle Management experience.

AIS Healthcare is a leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture and values around Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We focus on providing quality products and services that enhance the entire care experience.

We are seeking an experienced and motivated Accounts Receivable Collections Manager to join our team. This role involves directing and coordinating the daily activities of the Miscellaneous Accounts Receivables Teams across various payors (Aetna, Cigna, Commercial, Medicare, Medicaid) to maximize reimbursements. Responsibilities include managing denials, preparing appeals, and ensuring reimbursements align with contracts. The manager will also perform quality reviews, identify training needs, and help document policies and procedures.

The ideal candidate should possess outstanding communication skills, in-depth knowledge of collection practices, and compliance with federal and state regulations related to billing and collections.

AIS Healthcare offers excellent benefits, including health, vision, dental insurance, long-term disability, life insurance, annual bonuses, vacation, a 401K plan with a generous employer match, hybrid work options, growth opportunities, and more.

Job Summary:

The Collections Manager is a full-time role overseeing the collection staff and making daily decisions to ensure efficient operations for AIS Healthcare’s TDD services. This includes contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies or other responsible parties. The manager will regularly perform quality reviews, determine training needs, and assist in documenting policies and procedures.

Education and Experience:

• High school diploma or GED required; bachelor’s degree preferred.
• 5-7 years of healthcare industry experience required.
• Home Infusion and Intrathecal Pain Management experience preferred.
• 3-5 years of Revenue Cycle Management experience required.

Essential Duties and Responsibilities:

• Oversee collections operations, including contract analysis, AR, denials, claims monitoring, adjustments, appeals, and staff productivity.
• Serve as SME for collection and billing processes.
• Coordinate with other departments to obtain necessary patient or insurance information.
• Prepare and analyze bi-weekly and monthly financial reports and scorecards.
• Ensure compliance with all regulatory mandates and participate in policy development.
• Monitor trends, analyze data, and adjust staff and policies accordingly.
• Supervise collection staff, including work allocation, training, and motivation, in both in-office and remote settings.
• Manage staff scheduling and confidentiality, adhering to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, medical terminology, and billing procedures.
• Foster team knowledge sharing and positive interactions.
• Handle hiring, performance reviews, disciplinary actions, and other HR duties.
• Perform other related duties as assigned.

Qualifications:

• Comprehensive understanding of Revenue Cycle Management functions.
• Strong judgment and legal knowledge for complex situations.
• Excellent communication and relationship skills.
• Integrity, confidentiality, and knowledge of HIPAA.
• Proficiency in ICD-9, ICD-10, and Microsoft Office.
• Ability to lead a diverse team through change.
• Effective communication with patients, staff, and external stakeholders.
• Self-motivated, organized, and detail-oriented.
• Willingness to travel up to 25%.

Steps to Apply:

· Complete a Culture Index Assessment to be considered. Your application will not be reviewed without this.

· AIS Healthcare specializes in sterile, patient-specific intrathecal pump medications and in-home infusion services, supporting physicians and hospitals in delivering superior care.

· We seek positive, dedicated, and hardworking impact players to join our team.