Revenue Cycle Manager - Authorizations

Vital Care Infusion Services • Pittsburgh, PA

18h • Onsite

About The Position

Vital Care is seeking a Revenue Cycle Manager - Authorizations to manage the reimbursement activities of multiple infusion and specialty pharmacy business units. This role focuses on referral intake, authorizations, billing, and collections, depending on the area of responsibility. The ideal candidate will cultivate an environment of outstanding customer service in all interactions with franchise partners, payers, and patients, and develop a highly effective team to meet the critical challenges of timely, successful reimbursement from payers. Regulatory compliance is a foundation of all revenue cycle policies and procedures.

Requirements

• Minimum 3-5 years of home infusion therapy experience required.
• Minimum 5 years of Management experience.
• Bachelor’s degree or equivalent work experience preferred.

Responsibilities

• Manage multiple teams in processing new patient referrals, insurance benefit investigation, prior authorizations, billing, and collections depending on area of responsibility (up to 60 people).
• Manage resource allocations to meet KPIs.
• Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities.
• Focus on meeting and exceeding financial and department metrics.
• Conduct 1:1 coaching and mentoring with Supervisors to create a highly effective Team, in addition to annual performance reviews.
• Provide counseling when required to address performance.
• Monitor payroll for accuracy to ensure proper processing.
• Serve as escalation agent for supervisors and team to resolve complaints from franchise partners or patients.
• Create, implement, communicate, and maintain Standard Operating Procedures covering functional areas of responsibilities.
• Cultivate an environment of customer service through training, feedback, and staff mentoring.
• Audit transactions processed by the team to ensure accuracy and compliance with policies and procedures to identify training opportunities.
• Interview and select staff to meet business requirements and create a highly effective Team.
• Perform other related duties as assigned.

Benefits

• Comprehensive medical, dental, and vision plans
• Flexible spending accounts
• Health savings accounts
• Paid time off
• Personal days
• Company-paid holidays
• Paid Paternal Leave
• Volunteerism Days off
• Company-sponsored basic life insurance
• Long-term disability insurance
• Employee-paid voluntary life insurance
• Employee-paid accident insurance
• Employee-paid critical illness insurance
• Employee-paid short-term disability insurance
• 401(k) matching
• Tuition reimbursement
• Employee assistance programs (mental health, financial, and legal)
• Rewards programs offered by medical carrier
• Professional development and growth opportunities
• Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree