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Munson Healthcare · 3 days ago

Home Infusion Business Coordinator

Traverse City, MI

Full-time

Onsite

Senior Level

5+ years exp

Munson Healthcare is northern Michigan’s largest healthcare system, dedicated to providing exceptional care to its community. They are seeking a Home Infusion Business Coordinator to oversee the financial operations of the Home Infusion program, ensuring compliance and optimizing reimbursement while collaborating with clinical teams.

Hospital & Health Care

Responsibilities

Serve as the Pharmacy Home Infusion Business Coordinator, overseeing the financial operations of the Home Infusion program and ensuring services are set up to maximize reimbursement while accommodating each patient’s clinical needs and insurance coverage

Ensures compliance with Munson Medical Center and Home Health policies, Medicare enrollment and revalidation, CHAP accreditation standards, and all payer regulatory requirements

Leads and manages the full Home Infusion revenue cycle, including registration, verification, authorizations, charge entry, CMNs, billing, collections, compliance, reporting, and chargemaster maintenance

Negotiates, maintains, and monitors third-party payer contracts, ensuring timely renewals, modifications for new medications, and financial benefit to the organization; audits claims and resolves denials to optimize reimbursement

Provides operational and financial leadership, including monthly financial reporting, budget forecasting, staff training and support, policy and process development, quality improvement collaboration, and coordination with clinical teams and hospital case managers

Qualification

Revenue cycle managementHome Infusion TherapyThird Party ContractingFinancial reportingBudget forecastingPolicy developmentQuality improvementTeam leadership

Required

Bachelor's degree in Business Administration, Accounting, Information Systems, health related field or equivalent work-related experience will be considered

Five years working in the health care field especially in Revenue cycle, Home Infusion Therapy, Third Party Contracting experience highly desired