Supervisor - Remote Pharmacy Revenue Cycle Outpatient and Home Infusion

Ochsner Health•New Orleans, LA

19h•Remote

About The Position

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for the daily supervision and operational direction of the Outpatient and Home Infusion Billing and Collections teams. The Supervisor oversees all revenue cycle functions, including accurate and timely billing, claims submission, collections, and accounts receivable management for Medicare, Medicaid, commercial, and other third-party payers. In addition, this role provides enterprise-level system oversight and workflow configuration for pharmacy revenue processes, ensuring standardized workflows, system integrity, and alignment with organizational governance standards. The position ensures compliance with payer regulation and organizational policies while supporting optimal reimbursement, operational efficiency, and patient satisfaction. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Requirements

High School Diploma or GED
4+ years of medical billing, accounts receivable, or revenue cycle experience, including 1+ years of leadership, supervisory, or team lead experience.
Proficiency in using computers, software, and web-based applications.
Strong understanding of healthcare billing, collections, and reimbursement methodologies across government and commercial payers.
Working knowledge of Epic or other revenue cycle systems, payer portals, and billing platforms.
Demonstrated knowledge of enterprise or system-level revenue cycle applications, including workflow configuration and optimization.
Understanding of system governance, change management, and standardized workflow controls in a healthcare revenue environment.
Effective verbal and written communication and leadership skills.
Ability to manage multiple priorities and deadlines in a fast-paced environment.
Strong analytical, problem-solving, and organizational abilities.
Demonstrated ability to coach, develop, and mentor staff in high-volume environments.
Understanding of CMS and accreditation standards relevant to home infusion billing.

Nice To Haves

Associate’s or Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field.
5+ years of healthcare billing and collections experience, including home infusion or specialty pharmacy
Certified Pharmacy Technician (CPhT), Certified Revenue Cycle Representative (CRCR), or Certified Coding Specialist (CCS)

Responsibilities

Supervises daily billing and collections activities for outpatient and home infusion pharmacy services, ensuring timely, accurate, and compliant claim submission.
Provides leadership, scheduling, coaching, and performance management for direct reports; conducts regular feedback sessions, evaluations, and staff development activities.
Ensures claims are submitted accurately and in accordance with payer contracts, regulatory requirements, and organizational revenue integrity standards.
Reviews and resolves complex billing, payment, and denial issues, including appeals, underpayments, and payer escalations.
Monitors work queues, unbilled report, aging reports, and key revenue cycle metrics to maintain low accounts receivable days and minimize backlogs.
Collaborates with pharmacy operations, intake, billing and collections teams to ensure documentation completeness and claim readiness.
Provides enterprise-level oversight of pharmacy revenue cycle systems, including Caretend, supporting standardized billing workflows and consistent system usage across outpatient and home infusion services.
Configures, maintains, and optimizes revenue cycle workflows within enterprise systems (e.g., Caretend, EPIC), in partnership with Revenue System and IT, to support accurate billing, regulatory compliance, and operational efficiency.
Trains, develops, and mentors staff to enhance understanding of payer policies, workflows, and regulatory requirements.
Maintains updated knowledge of Medicare, Medicaid, and commercial payer billing rules, including infusion-specific modifiers, kit codes, and ABN processes.
Leads or participates in departmental and enterprise-level projects and process improvement initiatives to support revenue capture, system standardization, and operational efficiency.
Generates and analyzes KPIs to evaluate staff productivity and identify trends.
Communicates effectively with internal departments and external partners to resolve issues and ensure compliance.
Maintains compliance with HIPAA, CMS, and organizational policies and standards.
Promotes a positive attitude, solutions-oriented work environment and encourages team learning and development.
Performs other related duties as required.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.