Lead Collections Supervisor - Infusion Pharmacy Billing

InfuCare Rx®; New Jersey; On-site; USD 60,000 - 90,000; Full time

Job summary

InfuCare Rx is seeking a Collections Supervisor to manage the Collections Team in our home infusion pharmacy setting. You will train staff, ensure CPR+ and collection processes are followed, and drive performance improvements in billing and AR.

You will investigate irregularities, follow up on unpaid claims, and coordinate with insurance companies and patients to secure timely payments while maintaining high service levels.

Qualifications

• Knowledge of Medicare and Medicaid guidelines for home infusion therapy.
• Knowledge of infusion billing and collections for commercial and Medicaid payers.
• Working knowledge of infusion CPT, HCPCS and ICD-10 codes.
• Electronic claim filing.
• Medical Billing compliance proficiency.
• Strong knowledge of government insurance plans, managed care plans, HMO/PPOs, and patient billing.
• Accurate and detail-oriented including ability to work under pressure.
• Experience with Microsoft Office (Word/Excel).
• Communicates clearly and effectively in both oral and written communications.
• Proven problem-solving and critical thinking skills.
• Hands-on experience with a computerized billing system.
• Experience with CPR+ Infusion Pharmacy software for billing highly preferred.
• Ability to self-motivate and effectively solve complex problems through internal/external interaction.

Responsibilities

• Oversees and trains employees on the Collections Team.
• Ensure that new hires are fully trained on CPR+ and collection processes
• Assist in leading the staff in the development and improvement of their knowledge and skills
• Assists with performance evaluations.
• Prepare and submit clean claims to assigned insurance companies, either electronically or by paper.
• Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment.
• Review EOBs and act appropriately.
• Timely Receivables-Revenue Management and reporting.
• Prepare daily reporting for distribution to staff.
• Develop and implement new processes and procedures to help reduce DSO.
• Submit write off requests, identify bad debt as necessary.
• Identify all roadblocks which potentially could delay claims payment and be ready to discuss solutions with management.
• Bill payor plus patient responsibility amounts accurately and in a timely manner.
• Handle phone interaction with patients and insurance companies regarding billing and statement questions.
• Interpret contracts/maintain Payor customer service relationships in order to produce accurate claims, validate reimbursement, and keep A/R to company standards.
• Provide excellent customer service.
• Assist with PBM and Medical Claim Audits – (both pre and post submission).
• Ensure that new hires are fully trained in CPR+ and collection processes.
• Performs other related duties as assigned.

Skills

Medicare/Medicaid knowledge

Infusion billing

CPT/HCPCS/ ICD-10 knowledge

Electronic claim filing

CPR+ Infusion Pharmacy software

MS Office

Communication

Problem solving

Attention to detail

Education

Associates or bachelor’s degree preferred

Tools

CPR+ Infusion Pharmacy software

Job description

InfuCare Rx is seeking a Collections Supervisor to manage the Collections Team in our home infusion pharmacy setting. You will train staff, ensure CPR+ and collection processes are followed, and drive performance improvements in billing and AR.

You will investigate irregularities, follow up on unpaid claims, and coordinate with insurance companies and patients to secure timely payments while maintaining high service levels.