Experienced Revenue Cycle Manager - Home Infusion

AIS Healthcare; Reno (NV); Remote; USD 70,000 - 90,000; Full time

Job summary

AIS Healthcare is seeking an experienced Accounts Receivable Collections Manager for a 100% remote position. The role involves overseeing the Miscellaneous Accounts Receivables Teams, managing denials, preparing appeals, and ensuring compliance with billing regulations. Ideal candidates will have extensive experience in Revenue Cycle Management and excellent communication skills, alongside a commitment to patient care.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability

Life insurance

401K with employer match

Annual bonuses

Growth opportunities

Vacation

Hybrid work model

Qualifications

• 5-7 years of healthcare industry experience required.
• 3-5 years of Revenue Cycle Management experience required.
• Experience in Home Infusion and Intrathecal Pain Management preferred.

Responsibilities

• Oversee collection operations, including contract analysis and accounts receivable.
• Manage denials, prepare appeals, and ensure compliance with regulations.
• Supervise collection staff and conduct quality reviews.

Skills

Communication

Negotiation

Relationship-building

Leadership

Integrity

Education

High school diploma or GED

Bachelor’s degree

Tools

ICD-9 coding

ICD-10 coding

Microsoft Office

Job description

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. Committed to innovation, stewardship, and unity, we focus on advancing quality and improving lives through our diverse culture and dedication to patient care.

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 payers such as 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 will possess excellent communication skills, extensive 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, a 401K with employer match, a hybrid work model, growth opportunities, and more.

Job Summary:

The Collections Manager is a full-time role responsible for overseeing collection staff and daily operations related to TDD services. This includes contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies. The manager will conduct quality reviews, identify training needs, and 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.
• Experience in Home Infusion and Intrathecal Pain Management preferred.
• 3-5 years of Revenue Cycle Management experience required.

Essential Duties and Responsibilities:

• Oversee collection operations, including contract analysis, accounts receivable, denials, claims monitoring, adjustments, appeals, and staff productivity.
• Serve as SME for collection and billing processes.
• Coordinate with other departments for necessary patient or insurance information.
• Prepare and analyze bi-weekly and monthly financial reports.
• Ensure compliance with regulatory mandates and internal policies.
• Perform quality reviews and monitor operational efficiency.
• Supervise collection staff, including training, scheduling, and performance management.
• Maintain confidentiality and adhere to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, medical terminology, and billing procedures.
• Promote team knowledge sharing and positive interactions.
• Manage hiring, scheduling, and staff performance reviews.
• Perform additional duties as assigned.

Qualifications:

• Understanding of Revenue Cycle Management functions.
• Strong judgment and knowledge of laws and regulations.
• Excellent communication, negotiation, and relationship-building skills.
• Integrity, credibility, and ability to handle confidential information.
• 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 travel up to 25%.

Steps to Apply:

• Complete a Culture Index Assessment to be considered. Your application will not be reviewed without it.
• Assessment link: portal.cultureindex.com/public/survey/general/0BFB8F0000
• About AIS Healthcare: We provide advanced sterile, patient-specific intrathecal pump medications, in-home IV therapies, and care coordination solutions to support physicians and hospitals.
• We seek impact players who are positive, earnest, and hardworking to join our vibrant culture.