Reimbursement Manager

Local Infusion; United States; À distance; USD 110 000 - 170 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision insurance

Disability coverage (short & long-term

401(k) with company match

15 days PTO

Parental leave and flexible return to/

Professional development opportunities

Résumé du poste

Local Infusion is seeking an experienced revenue cycle professional to own reimbursement performance across the organization, focusing on denials, underpayments, and payer variances. You will drive timely, accurate claim resolution and shape reimbursement strategy for a rapidly growing infusion provider.

The role requires leadership of billing operations, collaboration with care teams, and adherence to payer contracts and regulations.

Qualifications

• Minimum 5 years of collections, billing, or cash posting in the specialty infusion or oncology healthcare setting.
• Strong knowledge of payer requirements, claims processes, and denial management.
• Experience with billing/EHR systems and clearinghouses; strong analytical skills.

Responsabilités

• Own end-to-end reimbursement performance across the organization.
• Identify root causes of denials and underpayments; implement process improvements.
• Oversee billing operations: charge capture, claims submission, denial management.
• Monitor KPIs (clean claim rate, denial rate, collection rate, AR aging) and report trends.
• Supervise, train, and develop billing staff; set performance goals.
• Ensure compliance with payer contracts, coding guidelines, and regulations (HIPAA, CMS).
• Prepare monthly revenue cycle reports and forecasts.
• Lead audits and quality control related to billing practices.
• Report to the Director of Revenue Cycle.

Connaissances

Billing & Reimbursement

Denial management

Payer contracts

Leadership

Analytics

Formation

Bachelor's degree preferred

Outils

Billing/EHR systems

Clearinghouses

Description du poste

We are Local Infusion.

Local Infusion is the fastest growing infusion provider in the United States, with a mission to transform the specialty infusion industry, because patients deserve better. By providing both exceptional, patient-centered care and the proprietary, AI-driven technology powering it, Local Infusion accelerates access, simplifies workflows, and improves outcomes for everyone in the infusion journey — from patients and clinicians to health plans, health systems, employers, and pharma.

Clinicians can spend less time on paperwork and more time with patients, bringing comfort, connection, and community back to healthcare. With Local Infusion, every patient and every care team is fully supported, every step of the way.

Fraud and Security Notice: Please note that all communication regarding job opportunities at Local Infusion will come exclusively from an @ email address. If you receive messages from any other domain, please disregard them.

The Role

Local Infusion is seeking an experienced and detail-oriented revenue cycle professional to own reimbursement performance across the organization - identifying and resolving denials, billing operations, underpayments, and payer variances, and driving timely, accurate claim resolution. If you have a strong background in billing, denial management, collections, and a comprehensive understanding of infusion revenue cycle, this role offers the opportunity to shape reimbursement strategy for a rapidly growing organization.

Key Accountabilities

• Manage the collections process for payer balances, setting targets for days sales outstanding (DSO) and aged AR

• Identify root causes of denials and underpayments; implement process improvements to reduce recurring issues

• Oversee end-to-end billing operations, including charge capture, claims submission, and denial management

• Monitor key performance indicators (clean claim rate, denial rate, collection rate, AR aging) and report trends to leadership

• Supervise, train, and develop billing/collections staff; set individual and team performance goals

• Ensure compliance with payer contracts, coding guidelines, and applicable regulations (e.g., HIPAA, CMS rules)

• Prepare monthly reporting and forecasts for revenue cycle performance

• Lead audits and quality control related to billing practices

• Report to the Director of Revenue Cycle

Requirements

• Bachelor's degree preferred

• Minimum of five (5) years of collections, billing, and/or cash posting experience in the specialty infusion or oncology healthcare setting

• Strong knowledge of payer requirements, claims processes, and denial management

• Experience with billing/EHR systems and clearinghouses and strong analytical skills

• Excellent leadership, communication, and problem-solving skills

The Local Infusion Way

Local Infusion is a respectful upbeat team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get:

• Medical, dental, and vision insurance through our employer plan

• Short and long-term disability coverage

• 401(k) — as an early-stage startup, and we match!

• 15 Days PTO — and we want you to take it!

• Competitive paid parental leave and flexible return to work policy.

• We invest in your career. Our company is growing quickly, and we'll give you the opportunity to do the same. You'll have access to a number of professional development opportunities so that you can keep up with the company's evolving needs and grow your career along the way.

We don’t discriminate—Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.

What It's Like to Work at Local Infusion