Reimbursement Manager

Description

PrommptCare is seeking a dedicated and detail-oriented Reimbursement Manager to lead and manage the reimbursement process for our infusion services. This role requires expertise in all aspects of insurance data collection, verification, and authorization. From initial referral to patient admission, accurate documentation and data entry are essential and must align with PromptCare’s established policies and procedures. This is a dynamic opportunity to collaborate closely with patients, healthcare providers, and insurance companies, ensuring that reimbursement procedures are executed efficiently and with precision. If you have a strong background in healthcare billing and collections and thrive in a detail-driven environment, we encourage you to apply and join our mission in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion 

Job Type: Exempt, Full-Time, 40 hours per week, Mon-Fri

Location: Hybrid in Lenexa, KS

Requirements

• High School Diploma. Associates preferred
• Experience in medical office, patient contact and related experience
• Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices
• Infusion background is required
• Medical Reimbursement background is preferred
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR and/or Caretend experience is preferred
• Strong work ethic with attention to detail and quality is required
• Ability to identify and address problem accounts is required
• Solid knowledge of authorizations and re-authorizations processes is required
• 3-5 years managerial experience is preferred

Job Responsibilities, included but not limited to:

• Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolution
• Manage Reauthorization workload and ensure successful completion of the team’s workload in a timely manner
• Participate in projects or process updates as they relate to improving key outcomes
• Identify deficiencies and work to improve them through collaboration within the team and with other departments
• Work collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviews
• Ensure staff meets quantity requirements while also maintaining quality
• Work collaboratively with other departments staff such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issues
• Manage timeliness of Re-Authorization submission to ensure that there are no delays in patient therapies and held revenue remains below established threshold and there is minimal bad debt write offs
• Prepare reports and do analysis to ensure proper workload distribution
• Managed escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processes
• Provide training and re-training for staff as necessary
• Provide timely and regular feedback to staff on processes, compliance, and performance

Physical Demands

The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.

Benefits & Perks

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.