Head of Billing and Collections

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🏄 California, Nevada, +3 more states – Remote

🏄 California – Remote 🎰 Nevada – Remote 🗽 New York – Remote 🌲 Oregon – Remote 🏰 Missouri – Remote

💵 $110.4k - $138k / year

⏰ Full Time

🔴 Lead

📊 Billing Specialist

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Fuze Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

☁️ SaaS

🤝 B2B

💊 Pharmaceuticals

SaaS • B2B • Pharmaceuticals

Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.

📋 Description

• Overseeing the daily operations of the billing and collections department • Ensuring accurate and timely submission of claims and invoices • Managing revenue cycle processes • Leading a team to maximize collections • Focusing on reducing claim denials and managing payments per payer contracts • Optimizing cash collections in a high-volume setting • Supervising billing and AR staff, assigning daily work, training new employees, and mentoring team members on billing techniques • Developing and implementing policies, procedures, and best practices to improve billing efficiency and revenue integrity • Monitoring AR aging reports to identify and resolve delinquent accounts, underpayments, and denials • Managing the resolution of rejected claims, submits appeals for denied claims, and reconciling pharmacy payments • Ensuring compliance with HIPAA, state/federal regulations, and payer contracts • Generating and analyzing financial reports, tracking key performance metrics for pharmacy leadership • Serving as a liaison between the pharmacy staff, finance department, and insurance payers regarding billing issues

🎯 Requirements

• 8+ years overall billing, collection, and AR management • Strong understanding of the revenue cycle from billing through collections • Proficiency in various billing softwares and strong Microsoft Excel • Demonstrated track record of driving operational excellence and delivering high-quality results • Strong analytical, problem-solving, and communication skills, with the ability to lead in a fast-paced environment • Bachelor’s degree in Business, Finance, or Healthcare Administration or related field (preferred) • 3+ years of experience in medical/pharmacy billing and team leadership (preferred) • Experience with pharmacy adjudication systems and third-party payer rules is a plus (preferred)

🏖️ Benefits

• dental, vision, and multiple group medical plans to choose from • a 401(k) retirement savings plan • group life insurance • accidental death and dismemberment (AD&D) insurance • flexible spending account (FSA) and health savings account (HSA) • commuter benefits • employer-paid short-term (STD) and long-term disability (LTD) insurance • additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program) • flexible vacation time • accrued paid sick time • 10 paid holidays, (2 floating holidays for full time non-exempt employees) • eight weeks of paid parental leave for eligible employees • additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • a Lifestyle Spending Account allowance each month