Director of Billing

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🕒 Setembro 23

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 15%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Coral Connect

SiteLinkedInTodas as Vagas

2 - 10 funcionários

Fundada em 2021

🤲 Filantropia

🌍 Impacto Social

Charity • Social Impact

A Coral Connect é uma plataforma inovadora que conecta doadores aos esforços de conservação de recifes de coral. Ela exibe o crescimento, a saúde e o progresso de cada impacto beneficente, aumentando a transparência e o engajamento dos doadores em relação à restauração e proteção dos recifes.

Descrição

• Drive development and deployment of standardized billing and reimbursement playbooks across all clients • Partner with the technology team to define billing enablement requirements, including denial tracking, reimbursement analytics, and claims workflow visibility • Provide strategic direction for billing and reimbursement operations across multiple client organizations • Serve as the infusion billing and reimbursement subject matter expert for the RCM organization • Develop standardized best practices for infusion billing, coding, and revenue cycle processes • Mentor high-potential associates and billing staff • Advise clients on billing and reimbursement matters and serve as the main escalation point • Assist with monthly business reviews covering financial performance, reimbursement trends, and optimization roadmaps • Recommend payor contracting, drug acquisition/reimbursement, and program financial efficiency improvements • Research client performance, analyze trends, and recommend improvements • Align drug acquisition strategy with reimbursement and GPO performance • Evaluate billing readiness and downstream claims workflows to identify reimbursement risk • Improve reimbursement for infusion medications, administration services, and related supplies • Support payor-specific billing and documentation strategies • Provide expertise on medical versus pharmacy benefit billing pathways • Partner with intake and RCM leadership to convert verified referrals into accurate claims • Guide infusion billing involving HCPCS/J-codes, NDCs, infusion administration CPT codes, drug wastage, and modifiers • Resolve complex payor reimbursement issues and establish escalation frameworks for billing and denial trends • Monitor revenue cycle metrics including drug reimbursement, denials, days in A/R, and revenue per infusion visit • Develop data-driven operational improvement plans and performance monitoring tools • Ensure compliance with payor requirements, CMS guidelines, OIG guidance, and industry best practices • Support audit readiness for billing and claims documentation • Develop training materials, competency frameworks, and operational protocols • Identify billing and claims inefficiencies and implement standardized, scalable solutions through automation, technology adoption, and workflow redesign

🎯 Requisitos

• High school diploma or equivalent • 5+ years of healthcare experience with significant experience in infusion services billing and reimbursement services for both pharmacy and medical benefits • 3+ years of leadership or manager-level experience • Strong understanding of infusion reimbursement, payor policies, and revenue cycle workflows • Experience working with outpatient infusion centers, specialty pharmacy, oncology infusion, or hospital-based infusion services • Demonstrated experience managing multi-site or multi-client environments • Deep knowledge of infusion billing operations and reimbursement models • Strong strategic thinking and operational leadership abilities • Excellent client relationship and executive communication skills • Ability to analyze financial and claims performance metrics • Strong problem-solving and process improvement skills • Ability to manage multiple client engagements simultaneously

🏖️ Benefícios

• Health insurance • Dental insurance • Vision insurance • Life insurance • 401(k) • Paid time off • Remote work with limited travel to client locations, internal business meetings, and other locations as needed