Amerit Consulting · 20 hours ago
Home Infusion Revenue Cycle Lead
United States
Full-time
Remote
Senior Level
$60K/yr - $70K/yr
5+ years expAmerit Consulting is a fast-growing staffing and consulting firm seeking a Home Infusion Revenue Cycle Lead. This role is responsible for overseeing the financial results of insurance companies assigned to home infusion customers, creating standard operating procedures, and ensuring quality assurance in billing processes.
ConsultingHuman ResourcesInformation TechnologyStaffing Agency
No H1B
Hiring Manager
Satwinder Singh
Responsibilities
The RCM Team Lead is responsible for staff’s financial results of all the insurance companies assigned to home infusion/pharmacy customers
In addition, this role is responsible for assisting Director in creating SOPs for the team to follow, assisting Director in creating procedures and systems for quality assurance as directed by Medicare, Medicaid, and Private insurance
Assist in creating and revising our standard operating procedures and educate our partners, vendors, and internal teams on those procedures
Responsible for training, monitoring quantity and quality assurance of work performed by internal team members
Understanding all general rules, guidelines, and methods to get paid from their staff assigned payers and the ability to back up/fill in for staff when necessary
Responsible for the financial results of each RCM customer by ensuring accuracy of their team that results in:
Streamlining processes that will Reduce adjustments and write offs
Ensure that the billing methodology for each payer is documented and set-up throughout the system to realize maximum reimbursement
Propose and implement changes and updates to the configuration in areas such as Price tables, Pharmacy Contacts, Insurance Settings, Therapy and per diems, Modules adoption, Additional Services
Identifying areas of opportunities to better streamline internal or external processes:
By making suggestions for system enhancements to the System
Or process improvements to increase efficiency and accuracy
Prepares and submits reports to Director as needed including but not limited to:
Quality Assurance Reporting
Denial Analyst Reporting
Service Level Agreement Reporting
Productivity and benchmark results
Monthly financial reporting
Other key reporting as identified by the Director or RCM Customer
Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals
Maintains patient confidentiality and function within the guidelines of HIPAA
Training new employees on all RCM Policies & Procedures
Learning and documenting the billing methodology for new payer assignments for existing or new RCM accounts
Other tasks and responsibilities as assigned
Qualification
Required
High school diploma required. A 2-year degree or additional college coursework preferred
5 years of experience in a healthcare reimbursement role
Minimum of 2 years of home infusion billing or accounts receivable experience required
Minimum of 2 years of experience working in & maintaining HIPAA standards
Highly skilled in using computers & Microsoft products (Excel and Word) is required
Minimum of 2 years of Supervisory experience preferably in home infusion
Math aptitude
Strong problem-solving skills focused on resolving complex home infusion claims
An effective communicator with strong oral, written, and persuasive skills and capability to deal with people at all levels in the organization and the public in a professional manner
Exceptional organizational skills with a high level of attention to detail and the ability to multitask
Self-starter, results driven, highly motivated, high energy
Preferred
A 2-year degree or additional college coursework preferred
Proven track record of working towards and exceeding metrics strongly preferred
Company
Amerit Consulting
Amerit Consulting is a staffing and recruiting company that offers temporary staffing and payrolling services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ian Wagemann
President, CEO
Recent News
2023-03-15
2022-07-12
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