Experienced Revenue Cycle Manager - Home Infusion

Hirebridge; Milwaukee (WI); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking an experienced Revenue Cycle Manager for a remote position. This role involves overseeing collections operations, managing a team, and ensuring compliance with regulations. Ideal candidates will have extensive experience in revenue cycle management and strong leadership skills. AIS Healthcare offers comprehensive benefits, including health insurance, 401K plans, and growth opportunities.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability

Life insurance

Annual bonuses

Vacation packages

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 AR.
• Manage staff scheduling and ensure compliance with HIPAA guidelines.
• Prepare and analyze financial reports and scorecards.

Skills

Communication

Leadership

Relationship Building

Integrity

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 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 are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

AIS Healthcare is seeking an experienced and motivated Accounts Receivable Collections Manager to join our dynamic team. This role involves directing and coordinating the daily activities of the Miscellaneous Accounts Receivables Teams (including Aetna, Cigna, Commercial, Medicare, and Medicaid payers) to maximize reimbursements. The Manager oversees these groups, managing denials, preparing appeals, and ensuring reimbursements align with contracted payors. Routine tasks include quality reviews, training needs assessment, and policy documentation.

The ideal candidate should possess outstanding communication skills, in-depth knowledge of collection practices, and compliance with Federal and State billing and collection regulations.

AIS Healthcare offers comprehensive benefits, including health, vision, dental insurance, long-term disability, life insurance, annual bonuses, vacation packages, 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 collection staff and making daily operational decisions to maximize cash flow. Responsibilities include contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies or other responsible parties. The Manager performs quality reviews, identifies training needs, and helps 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 Subject Matter Expert (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 impacting charges and coding, and adjust staff and policies accordingly.
• Supervise collection staff, including work allocation, training, and performance reviews, 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 regulations.
• Promote team knowledge sharing and positive interactions.
• Conduct hiring, training, and performance management activities.
• Perform other related duties as assigned.

Qualifications:

• Comprehensive understanding of Revenue Cycle Management functions.
• Good judgment and legal compliance in complex situations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and confidentiality.
• Proficiency with ICD-9 and ICD-10 coding, medical terminology, and Microsoft Office.
• Ability to lead a diverse team in a dynamic environment.
• Willingness to travel up to 25%.

Steps to Apply:

· Complete a Culture Index Assessment to be considered for this role. Applications without the assessment will not be reviewed.

· AIS Healthcare specializes in advanced sterile, patient-specific intrathecal pump medications, and in-home infusion therapies, offering a supportive work culture for impact-driven, positive, and dedicated professionals.