Experienced Revenue Cycle Manager - Home Infusion

Hirebridge; Chunky (MS); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Revenue Cycle Manager for a remote role. The position involves overseeing collections, managing denials, and ensuring compliance with billing regulations. Candidates should have extensive experience in Revenue Cycle Management and excellent communication skills. AIS Healthcare offers a comprehensive benefits package and opportunities for growth.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability

Life insurance

Annual bonus opportunities

401K 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 AR, denials, and appeals.
• Supervise collection staff and ensure compliance with regulations.
• Prepare and analyze bi-weekly and monthly reports.

Skills

Communication

Judgment

Problem Solving

Leadership

Education

High school diploma or GED

Bachelor's degree

Tools

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 the 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 overseeing the day-to-day activities of the Miscellaneous Accounts Receivables Teams (including Aetna, Cigna, Commercial, Medicare, and Medicaid payers) to maximize reimbursements. The Manager will oversee processes such as managing denials, preparing appeals, and ensuring reimbursements align with contracted payors. Responsibilities include performing quality reviews, identifying training needs, and documenting policies and procedures.

The ideal candidate should possess excellent communication skills, deep knowledge of collection practices, and ensure compliance with Federal and State regulations related to billing and collections.

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

Job Summary:

The Collections Manager is a full-time role responsible for leading the collection staff and making operational decisions for AIS Healthcare’s Targeted Drug Delivery (TDD) services. This includes managing contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies. The Manager will perform quality reviews, identify training needs, and help document 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 for patient and insurance information.
• Prepare and analyze bi-weekly and monthly reports and scorecards.
• Ensure compliance with regulatory mandates and participate in policy development.
• Monitor trends and adjust staff and policies accordingly.
• Supervise collection staff, including training, scheduling, and performance management.
• Maintain confidentiality and HIPAA compliance.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, and medical codes.
• Share knowledge and promote teamwork.
• Conduct staff hiring, scheduling, and performance reviews.
• Perform additional duties as assigned.

Qualifications:

• Understanding of Revenue Cycle Management functions.
• Judgment and problem-solving skills in complex situations.
• Excellent communication and relationship-building skills.
• Integrity, credibility, and strong work ethic.
• Knowledge of HIPAA, ICD-9, ICD-10, and medical terminology.
• Leadership skills to manage a diverse team amidst change.
• Effective communication with patients, staff, and external stakeholders.
• Organized, detail-oriented, and self-motivated.
• Proficient in Microsoft Office; 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 step.

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

· We seek impactful, positive, earnest, and hardworking individuals to join our team.