Reimbursement Manager

Responsibilities

  • Manage the collections process for payer balances and set targets for days sales outstanding (DSO) and aged AR
  • Identify root causes of denials and underpayments and implement process improvements
  • Oversee end-to-end billing operations, including charge capture, claims submission, and denial management
  • Monitor key performance indicators such as clean claim rate, denial rate, and collection rate
  • Supervise, train, and develop billing and collections staff
  • Ensure compliance with payer contracts, coding guidelines, and regulations including HIPAA and CMS rules
  • Prepare monthly reporting and forecasts for revenue cycle performance
  • Lead audits and quality control related to billing practices

Requirements

  • Minimum of five years of collections, billing, and/or cash posting experience in specialty infusion or oncology healthcare
  • Strong knowledge of payer requirements, claims processes, and denial management
  • Experience with billing/EHR systems and clearinghouses
  • Strong analytical, leadership, and communication skills
  • Bachelor's degree preferred

Benefits

  • Medical, dental, and vision insurance
  • Short and long-term disability coverage
  • 401(k) with company match
  • 15 Days PTO
  • Competitive paid parental leave and flexible return to work policy

About the Company

Local Infusion is a fast-growing infusion provider in the United States dedicated to transforming the specialty infusion industry through patient-centered care and AI-driven technology.

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