PromptCare, Inc.
Reimbursement Manager - Infusion
PromptCare, Inc., Trenton, New Jersey, United States,
DescriptionPromptcare is seeking a highly motivated and experienced Reimbursement Manager to join our team. As a Reimbursement Manager, you will be responsible for managing the reimbursement process for infusion services. You will work closely with patients, healthcare providers, and insurance companies to ensure timely and accurate reimbursement. If you are a self-starter with a passion for healthcare reimbursement and a desire to make a difference in the lives of patients, we encourage you to apply for this exciting opportunity.Reporting to:
VP of ReimbursementJob Type:
Full-time, 40 hours per week, Hybrid, Mon-FriLocation:
New Providence, NJRequirementsHigh School Diploma. Associates preferredExperience in medical office, patient contact and related experienceExcellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician officesInfusion background is requiredMedical Reimbursement background is preferredAppropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferredStrong work ethic with attention to detail and quality is requiredAbility to identify and address problem accounts is requiredSolid knowledge of authorizations and re-authorizations processes is required3-5 years managerial experience is requiredJob Responsibilities, included but not limited to:Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolutionManage Reauthorization workload and ensure successful completion of the team’s workload in a timely mannerParticipate in projects or process updates as they relate to improving key outcomesIdentify deficiencies and work to improve them through collaboration within the team and with other departmentsWork collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviewsEnsure staff meets quantity requirements while also maintaining qualityWork collaboratively with other departments such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issuesManage 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 offsPrepare reports and do analysis to ensure proper workload distributionManage escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processesProvide training and re-training for staff as necessaryProvide timely and regular feedback to staff on processes, compliance, and performancePhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.Benefits & PerksCompetitive SalaryMedical, Dental, Vision Package401(k) plan (discretionary)PTO - Vacation, Sick and Personal days, and paid holidaysReferral bonuses & Discount Ticket ProgramLunch & Learn ProgramsEmployee Recognition ProgramEqual Employment OpportunityThe PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
#J-18808-Ljbffr
VP of ReimbursementJob Type:
Full-time, 40 hours per week, Hybrid, Mon-FriLocation:
New Providence, NJRequirementsHigh School Diploma. Associates preferredExperience in medical office, patient contact and related experienceExcellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician officesInfusion background is requiredMedical Reimbursement background is preferredAppropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferredStrong work ethic with attention to detail and quality is requiredAbility to identify and address problem accounts is requiredSolid knowledge of authorizations and re-authorizations processes is required3-5 years managerial experience is requiredJob Responsibilities, included but not limited to:Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolutionManage Reauthorization workload and ensure successful completion of the team’s workload in a timely mannerParticipate in projects or process updates as they relate to improving key outcomesIdentify deficiencies and work to improve them through collaboration within the team and with other departmentsWork collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviewsEnsure staff meets quantity requirements while also maintaining qualityWork collaboratively with other departments such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issuesManage 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 offsPrepare reports and do analysis to ensure proper workload distributionManage escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processesProvide training and re-training for staff as necessaryProvide timely and regular feedback to staff on processes, compliance, and performancePhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.Benefits & PerksCompetitive SalaryMedical, Dental, Vision Package401(k) plan (discretionary)PTO - Vacation, Sick and Personal days, and paid holidaysReferral bonuses & Discount Ticket ProgramLunch & Learn ProgramsEmployee Recognition ProgramEqual Employment OpportunityThe PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
#J-18808-Ljbffr