Experienced Revenue Cycle Manager - Home Infusion

Hirebridge; Fort Lauderdale (FL); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Revenue Cycle Manager for a fully remote position. The role involves overseeing collections operations, managing denials, and ensuring compliance with regulations. Ideal candidates will have strong leadership skills and a background in revenue cycle management. AIS Healthcare offers comprehensive benefits and opportunities for growth.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

401K Plan with Employer Match

Annual Bonuses

Vacation

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 AR.
• Prepare and analyze bi-weekly and monthly financial reports.
• Supervise collection staff, including training and performance management.

Skills

Communication

Problem-Solving

Leadership

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 a diverse culture and values centered around Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We focus on enhancing the entire care experience through quality products and services.

We are seeking an experienced and motivated Accounts Receivable Collections Manager to join our team. This role involves managing the daily operations of the Miscellaneous Accounts Receivables Teams (including payers like Aetna, Cigna, Commercial, Medicare, and 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 excellent communication skills, in-depth 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 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 responsible for overseeing the collection staff and daily decision-making for AIS Healthcare’s TDD services. This includes managing contract analysis, reimbursement processes, denial management, appeals, and resolving billing issues with insurance companies or responsible parties. The Manager will conduct quality reviews, identify training needs, and help document procedures.

Education and Experience

• High school diploma or GED required; bachelor’s degree preferred.
• 5-7 years of healthcare industry experience required.
• Experience in Home Infusion and Intrathecal Pain Management is 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 Subject Matter Expert for collection and billing processes.
• Coordinate with other departments for patient and insurance information.
• Prepare and analyze bi-weekly and monthly financial reports and scorecards.
• Ensure compliance with all regulatory mandates and participate in policy development.
• Perform quality reviews and monitor operational efficiency.
• Supervise collection staff, including training, scheduling, and performance management.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, and medical coding.
• Foster a positive team environment and share knowledge with staff.
• Manage hiring, scheduling, and staff performance reviews.
• Perform other related duties as assigned.

Qualifications

• Understanding of Revenue Cycle Management functions and integration.
• Good judgment and problem-solving skills in compliance with laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Ability to handle sensitive information and knowledge of HIPAA.
• Proficiency with ICD-9 and ICD-10 coding, medical terminology, and Microsoft Office.
• Leadership skills to manage a diverse team in a dynamic environment.
• Ability to communicate professionally with patients, staff, and external stakeholders.
• Self-directed, organized, and detail-oriented.
• Travel up to 25% required.

Steps to Apply

To be considered, complete the Culture Index Assessment as part of your application. Applications without this assessment will not be reviewed.

AIS Healthcare is a leading provider of sterile, patient-specific intrathecal pump medications and in-home infusion services, supporting physicians and hospitals in delivering superior care. We value impact players who are positive, earnest, and hardworking.