Prochant is seeking a Infusion Reimbursement Manager to work remotely . The manager will oversee the billing and collection function for all payer groups including Medicare and Medicaid, ensuring timely reimbursement and compliance with all applicable regulations.
Essentials Duties & Responsibilities
- Perform and manage day‑to‑day reimbursement activities from delivery to payment for all payer segments.
- Monitor cash flow, days sales outstanding (DSO), and bad debt losses to maintain profitability.
- Ensure billing requirements and receivables comply with third‑party payer contracts and government program rules.
- Maintain compliance with federal, state, and local laws, third‑party contracts, company policy, and accounting best practices.
- Analyze account summaries to negotiate and settle outstanding receivables.
- Generate revenue review and profitability reports on a daily, weekly, and monthly basis.
- Complete month‑end activities per company deadlines.
- Review and adjust claim balances; transfer delinquent accounts to collections per company procedures.
- Act as the first point of contact for escalation issues related to payment discrepancies or billing/collections concerns.
- Recommend procedural improvements to eliminate errors, enhance cash flow, and reduce bad debt.
- Support the broader reimbursement team in developing strategies and best practices.
- Assist with training or onboarding new employees.
- Perform other duties as assigned.
Requirements
- 5+ years of home infusion billing and collections experience.
- Strong knowledge of financial reporting, HIPAA guidelines, and healthcare billing regulations.
- Proven ability to initiate and execute processes to achieve results.
- Experience analyzing data to identify trends and drive improvements.
- Excellent customer service skills and the ability to meet quality standards.
- Preference for experience with CPR+, CareTend, or Brightree systems.
- Proficient with Excel, Outlook, and Word.
Benefits
- Health, dental, vision, and gap insurance.
- Short‑term and long‑term disability (company paid).
- Term life insurance (company paid, optional additional coverage).
- Full suite of CHUBB supplemental plans (disability income, level term life, accident, and critical illness).
- Floating holidays and paid time off.
- 401(k) with company match.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Other
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