Revenue Cycle Lead - Home Infusion Business Office

The Lead position serves as a key resource within the business office, providing operational support, training, workflow guidance, and daily oversight to ensure accurate, efficient, and compliant billing. This role functions as a subject matter resource for staff, collaborates with internal departments to resolve issues, and supports continuous process improvement to reduce revenue leakage and improve financial performance. Duties align with revenue cycle principles including charge capture accuracy, payer compliance, benefit verification, authorization workflows, billing, and collections. This role will provide services for management of Fairview Homes Infusion as well as external customers. This includes consulting and training services for external consulting engagements.

Location: Seven Lakes Pharmacy - 3650 Victoria St N, Shoreview MN

Schedule: 1.0FTE Monday-Friday 8:00AM-4:30PM

Responsibilities

• Using strong knowledge of insurance, pharmacy practice, revenue cycle and in accordance with department Standard Operating Procedures (SOPs) and any regulatory or compliance requirements: Ensure accurate benefit investigation, payer verification, authorization acquisition, and documentation. Review accounts for completeness, correct errors, and collaborate with staff to improve firstpass clean claim rates. Assist with denial prevention, rootcause analysis, and followup activities. Partner with billing, coding, intake, pharmacy, nursing, and payer relations teams to address barriers to reimbursement. Maintain knowledge of current billing and follow up requirements. Ensure accurate and timely billing, collection, and posting of accounts.
• Provide subject matter knowledge to Fairview and with external clients Serve as a subject matter expert for complex billing and collections scenarios. Collaborate with billing, pharmacy, and clinical teams to resolve billing-related issues. Present and communicate with external clients – providing expertise and insight on revenue cycle and applicable billing system Standardize workflows and share best practices with clients. Assist in producing timely dashboard and performance metrics to all customers – internal and external

Required Qualifications

• B.S./B.A. Business Pharmacy, or equivalent area or
• OR Associates of Applied Science with 4 years of experience in home infusion billing or
• OR 10 years of experience in home infusion billing
• 4 years Healthcare experience in revenue cycle functional area
• 4 years Home infusion billing, reimbursement, or revenue cycle operations

Preferred Qualifications

• 1 year Experience in training, education or team leadership
• 2 years Supervisory experience

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

Salary : $59,717 - $84,323