Reimbursement Manager

Responsibilities

• Manage the collections process for payer balances, setting targets for days sales outstanding (DSO) and aged AR
• Identify root causes of denials and underpayments; implement process improvements to reduce recurring issues
• Oversee end-to-end billing operations, including charge capture, claims submission, and denial management
• Monitor key performance indicators (clean claim rate, denial rate, collection rate, AR aging) and report trends to leadership
• Supervise, train, and develop billing/collections staff; set individual and team performance goals
• Ensure compliance with payer contracts, coding guidelines, and applicable regulations (e.g., HIPAA, CMS rules)
• Prepare monthly reporting and forecasts for revenue cycle performance
• Lead audits and quality control related to billing practices
• Report to the Director of Revenue Cycle

Requirements

• Bachelor's degree preferred
• Minimum of five (5) years of collections, billing, and/or cash posting experience in the specialty infusion or oncology healthcare setting
• Strong knowledge of payer requirements, claims processes, and denial management
• Experience with billing/EHR systems and clearinghouses and strong analytical skills
• Excellent leadership, communication, and problem-solving skills

Qualifications

Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.