Reimbursement Manager

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Local Infusion

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1 - 10 employees

💰 $4M Seed Round on 2022-11

We are setting a new standard for infusion therapy—because patients deserve better.

📋 Description

• 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

🏖️ Benefits

• 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. • Professional development opportunities