Experienced Revenue Cycle Manager - Home Infusion

AIS Healthcare; St. Louis (MO); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking an experienced Revenue Cycle Manager to lead their Home Infusion team. This fully remote role involves overseeing collections processes, managing denials, and ensuring compliance with billing regulations. The ideal candidate will have a strong background in Medical Insurance Revenue Cycle Management and excellent communication skills. With a commitment to innovation and quality, this company offers a supportive work culture and opportunities for growth. Join a team dedicated to improving lives through exceptional healthcare solutions.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

401K Plan with Employer Match

Annual Bonuses

Vacation Package

Long-term Disability Insurance

Life Insurance

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 and manage staff productivity.
• Ensure compliance with regulatory mandates and perform quality reviews.

Skills

Medical Insurance Revenue Cycle Management

Communication Skills

Problem-Solving Skills

ICD-9 and ICD-10 Coding

Education

High School Diploma or GED

Bachelor's Degree

Tools

Microsoft Office Suite

Job description

Experienced Revenue Cycle Manager - Home Infusion

Join to apply for the Experienced Revenue Cycle Manager - Home Infusion role at AIS Healthcare.

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 advancing quality and improving lives through innovative solutions and a diverse culture rooted in values of Innovation, Stewardship, and Unity.

We are seeking an experienced and motivated Accounts Receivable Collections Manager to oversee the day-to-day activities of the Miscellaneous Accounts Receivables Teams, including payers such as Aetna, Cigna, Commercial, Medicare, and Medicaid. Responsibilities include managing denials, preparing appeals, and aligning reimbursements with contracts. The role involves performing quality reviews, identifying training needs, and documenting policies and procedures.

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

We offer comprehensive benefits, including health, vision, dental insurance, long-term disability, life insurance, annual bonuses, a vacation package, 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 supervising collection staff, managing collections processes, and ensuring maximum cash flow. Key activities include contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies or responsible parties. The role also involves quality reviews, policy documentation, and team leadership.

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, denials, claims monitoring, and staff productivity.
• Serve as SME for collection and billing processes.
• Coordinate with other departments for information needed for claims payment.
• Prepare and analyze bi-weekly and monthly reports.
• Ensure compliance with all regulatory mandates.
• Perform quality reviews and improve collection and billing efficiency.
• Supervise staff, including training, scheduling, and performance management.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, medical terminology, and billing procedures.
• Lead, motivate, and develop team members in a dynamic environment.
• Handle hiring, scheduling, and staff performance reviews.
• Perform other related duties as assigned.

Qualification Requirements

• Strong understanding of Revenue Cycle Management functions.
• Good judgment and problem-solving skills in complex situations.
• Excellent communication and relationship-building skills.
• Integrity, confidentiality, and knowledge of HIPAA.
• Proficiency with ICD-9 and ICD-10 coding, Microsoft Office Suite.
• Ability to lead a diverse team and adapt to change.
• Travel up to 25%.

Steps to Apply

• Complete a Culture Index Assessment to be considered.
• Use the provided link to access the assessment: portal.cultureindex.com/public/survey/general/0BFB8F0000.
• Apply for the position that matches your profile.

We offer a positive work culture and are seeking impact players who are committed, positive, and diligent.