Infusion Client Success Manager

ACU-Serve Corp

13d

About The Position

Duties & Responsibilities: Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts. Strong customer service skills; answering calls, prompt return and follow-up to all interactions; prompt response to request for information, both internally and externally. Identify, implement and improve billing and collections processes that will make a positive contribution to financial results. Develop and implement goals, policies, procedures, and guidelines, which ensure the reimbursement analysts are working efficiently and maximizing reimbursement. Monitor the effectiveness of activities to ensure authorizations, billings, postings, collections, accounts receivable and adjustments stay within established ranges. Prepare accurate and meaningful billing, collections, accounts receivable and bad debt reports. Report, review, maintain, and analyze all insurance reports by tracking and monitoring codes, payments, denials, and refund processes to meet compliance and performance standards. Oversee functionality and integrity of software to ensure timely and accurate administration of electronic claims, and electronic payment remittance. Yearly reviews for direct staff – keeping notes on their performance both good and bad Monthly one on one individual meetings with your direct reports Weekly team meetings with your team to go over issues/ideas/recommendations Supervise Billing and AR team through effective hiring, coaching, mentoring, and performance management. Ensure development of staff to achieve high results. Continue education in reimbursement rules, billing rules, and coding. Bill and Collect as needed to meet goals and expectations of the clients Work on metrics for the Reimbursement Analysts to meet monthly and monitor and enforce these goals Conduct conference calls weekly/bi-weekly/monthly or as requested/needed by the clients Attend yearly conferences as requested by management Complete daily, weekly, and monthly assignments as assigned by Management Qualifications and skills: Experience with medical billing for home infusion/specialty pharmacies/DME or another area of medical billing. Candidates should possess a roll-up-your-sleeves attitude and display a willingness to work hard and be a member of the team. Building a service-oriented practice with a positive work culture is a high priority.

Requirements

Experience with medical billing for home infusion/specialty pharmacies/DME or another area of medical billing.
Candidates should possess a roll-up-your-sleeves attitude and display a willingness to work hard and be a member of the team.
Building a service-oriented practice with a positive work culture is a high priority.
Graduate of an accredited Medical Billing Program and hold billing certification preferred.
WeInfuse, CPR Plus or CareTend system use preferred
Minimum of 3 years’ experience in Billing Management/Supervision is preferred
Knowledge of Microsoft Office and proficient with spreadsheets.
Proficiency in medical terminology, HCPC and ICD 10 coding.
Proficiency in filing medical claims
Expertise in reading and interpreting EOBs
Excellent Communication Skills
Commitment to goals and Philosophy of Pinnacle Revenue Management, Inc.
HIPAA compliance knowledge

Nice To Haves

Graduate of an accredited Medical Billing Program and hold billing certification preferred.
WeInfuse, CPR Plus or CareTend system use preferred
Minimum of 3 years’ experience in Billing Management/Supervision is preferred

Responsibilities

Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts.
Strong customer service skills; answering calls, prompt return and follow-up to all interactions; prompt response to request for information, both internally and externally.
Identify, implement and improve billing and collections processes that will make a positive contribution to financial results.
Develop and implement goals, policies, procedures, and guidelines, which ensure the reimbursement analysts are working efficiently and maximizing reimbursement.
Monitor the effectiveness of activities to ensure authorizations, billings, postings, collections, accounts receivable and adjustments stay within established ranges.
Prepare accurate and meaningful billing, collections, accounts receivable and bad debt reports.
Report, review, maintain, and analyze all insurance reports by tracking and monitoring codes, payments, denials, and refund processes to meet compliance and performance standards.
Oversee functionality and integrity of software to ensure timely and accurate administration of electronic claims, and electronic payment remittance.
Yearly reviews for direct staff – keeping notes on their performance both good and bad
Monthly one on one individual meetings with your direct reports
Weekly team meetings with your team to go over issues/ideas/recommendations
Supervise Billing and AR team through effective hiring, coaching, mentoring, and performance management. Ensure development of staff to achieve high results.
Continue education in reimbursement rules, billing rules, and coding.
Bill and Collect as needed to meet goals and expectations of the clients
Work on metrics for the Reimbursement Analysts to meet monthly and monitor and enforce these goals
Conduct conference calls weekly/bi-weekly/monthly or as requested/needed by the clients
Attend yearly conferences as requested by management
Complete daily, weekly, and monthly assignments as assigned by Management