Reimbursement Manager

PROMPTCARE HOME INFUSION LLC•Madisonville, LA

84d•Hybrid

About The Position

PromptCare is seeking a dedicated and detail-oriented Reimbursement Manager to oversee the reimbursement process for infusion services. This role offers an exciting opportunity to work closely with patients, healthcare providers, and insurance companies ensuring that reimbursement procedures are handled efficiently and accurately. If you are committed to improving healthcare access and have strong communication skills, we encourage you to apply.

Requirements

High School Diploma. Associates preferred
Experience in medical office, patient contact and related experience
Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices
Infusion background is required
Medical Reimbursement background is preferred
Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferred
Strong work ethic with attention to detail and quality is required
Ability to identify and address problem accounts is required
Solid knowledge of authorizations and re-authorizations processes is required
3-5 years managerial experience is preferred

Responsibilities

Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolution
Manage Reauthorization workload and ensure successful completion of the team’s workload in a timely manner
Participate in projects or process updates as they relate to improving key outcomes
Identify deficiencies and work to improve them through collaboration within the team and with other departments
Work collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviews
Ensure staff meets quantity requirements while also maintaining quality
Work collaboratively with other departments staff such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issues
Manage timeliness of Re-Authorization submission to ensure that there are no delays in patient therapies and held revenue remains below established threshold and there is minimal bad debt write offs
Prepare reports and do analysis to ensure proper workload distribution
Managed escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processes
Provide training and re-training for staff as necessary
Provide timely and regular feedback to staff on processes, compliance, and performance

Benefits

Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans