Collections Supervisor

InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC, offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team-oriented, and quality work environment for our employees that cultivates achievement and success.

About the role

As a Collections Supervisor, you'll take charge of multiple facets of the pharmacy/infusion reimbursement process as you interact with insurance companies and patients to ensure accurate payment. You will investigate irregularities and resolve problems when unforeseen roadblocks arise.

Responsibilities

• Oversee and train employees on the Collections Team.
• Ensure that new hires are fully trained on CPR+ and collection processes.
• Assist in leading the staff in the development and improvement of their knowledge and skills.
• Assist with performance evaluations.
• Prepare and submit clean claims to assigned insurance companies, either electronically or by paper.
• Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment.
• Review EOBs and act appropriately.
• Manage timely receivables, revenue, and reporting.
• Prepare daily reporting for distribution to staff.
• Develop and implement new processes and procedures to help reduce DSO.
• Submit write-off requests and identify bad debt as necessary.
• Identify all roadblocks which could potentially delay claims payment and discuss solutions with management.
• Bill payor plus patient responsibility amounts accurately and in a timely manner.
• Handle phone interactions with patients and insurance companies regarding billing and statement questions.
• Interpret contracts and maintain payor customer service relationships to produce accurate claims, validate reimbursement, and keep A/R to company standards.
• Provide excellent customer service.
• Assist with PBM and Medical Claim Audits (both pre- and post-submission).
• Perform other related duties as assigned.

Requirements

• High school diploma. Associate’s or bachelor’s degree preferred.
• Knowledgeable in Medicare and Medicaid guidelines for home infusion therapy.
• Knowledge of infusion billing and collections for commercial and Medicaid payers.
• Working knowledge of infusion CPT, HCPCS, and ICD-10 codes.
• Experience with electronic claim filing.
• Medical billing compliance proficiency.
• Strong knowledge of government insurance plans, managed care plans, HMO/PPOs, and patient billing.
• Accurate and detail-oriented, including ability to work under pressure.
• Experience with Microsoft Office (Word/Excel).
• Communicates clearly and effectively in both oral and written communications.
• Proven problem-solving and critical thinking skills.
• Hands-on experience with a computerized billing system.
• Experience with CPR+ Infusion Pharmacy software for billing highly preferred.
• Ability to self-motivate and effectively solve complex problems through internal/external interaction.

Physical Demands

• Required to stand, walk, sit, talk, and hear.
• Required to use hands to operate vehicles and office equipment.
• Must be able to occasionally lift and/or move up to 25 lbs.
• Specific vision requirements include close, distance, and peripheral vision, and the ability to adjust focus.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care.