Prochant is seeking a Infusion Reimbursement Manager to work remotely. The manager will oversee the billing and collection function for all payer groups including Medicare and Medicaid, ensuring timely reimbursement and compliance with all applicable regulations.
Essentials Duties & Responsibilities
- Perform and manage day‑to‑day reimbursement activities from delivery to payment for all payer segments.
- Monitor cash flow, days sales outstanding (DSO), and bad debt losses to maintain profitability.
- Ensure billing requirements and receivables comply with third‑party payer contracts and government program rules.
- Maintain compliance with federal, state, and local laws, third‑party contracts, company policy, and accounting best practices.
- Analyze account summaries to negotiate and settle outstanding receivables.
- Generate revenue review and profitability reports on a daily, weekly, and monthly basis.
- Complete month‑end activities per company deadlines.
- Review and adjust claim balances; transfer delinquent accounts to collections per company procedures.
- Act as the first point of contact for escalation issues related to payment discrepancies or billing/collections concerns.
- Recommend procedural improvements to eliminate errors, enhance cash flow, and reduce bad debt.
- Support the broader reimbursement team in developing strategies and best practices.
- Assist with training or onboarding new employees.
- Perform other duties as assigned.
Requirements
- 5+ years of home infusion billing and collections experience.
- Strong knowledge of financial reporting, HIPAA guidelines, and healthcare billing regulations.
- Proven ability to initiate and execute processes to achieve results.
- Experience analyzing data to identify trends and drive improvements.
- Excellent customer service skills and the ability to meet quality standards.
- Preference for experience with CPR+, CareTend, or Brightree systems.
- Proficient with Excel, Outlook, and Word.
Benefits
- Health, dental, vision, and gap insurance.
- Short‑term and long‑term disability (company paid).
- Term life insurance (company paid, optional additional coverage).
- Full suite of CHUBB supplemental plans (disability income, level term life, accident, and critical illness).
- Floating holidays and paid time off.
- 401(k) with company match.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Other