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The Infusion Revenue Cycle Supervisor is responsible for staff’s financial results of all of the insurance companies assigned to Brightree 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.
Job Responsibility:
Understanding all general rules, guidelines, and methods to get paid from their staff’s assigned payers and the ability to back up/fill in for staff when necessary
Responsible for the financial results of each Brightree 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 Brightree 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 Brightree 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 Brightree 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 Brightree 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
Requirements:
High school diploma required
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
Nice to have:
Proven track record of working towards and exceeding metrics strongly preferred
A 2-year degree or additional college coursework
5 years of experience in a healthcare reimbursement role
What we offer:
comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance
Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members