What are the responsibilities and job description for the Reimbursement Manager position at PromptCare?
Job Type
Full-time
Description
PromptCare is seeking a dedicated and detail-oriented Reimbursement Manager to oversee the reimbursement process for infusion services. This role offers an exciting opportunity to work closely with patients, healthcare providers, and insurance companies ensuring that reimbursement procedures are handled efficiently and accurately. If you are committed to improving healthcare access and have strong communication skills, we encourage you to apply.
Job Type: Exempt, Full-Time, 40 hours per week, Mon-Fri
Location: Hybrid in Madisonville, LA
Requirements
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
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.
Full-time
Description
PromptCare is seeking a dedicated and detail-oriented Reimbursement Manager to oversee the reimbursement process for infusion services. This role offers an exciting opportunity to work closely with patients, healthcare providers, and insurance companies ensuring that reimbursement procedures are handled efficiently and accurately. If you are committed to improving healthcare access and have strong communication skills, we encourage you to apply.
Job Type: Exempt, Full-Time, 40 hours per week, Mon-Fri
Location: Hybrid in Madisonville, LA
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
- 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
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
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.