Senior Reimbursement Manager

Job Type Full-time Description

Soleo Health is seeking a Senior Reimbursement Manager to support us Remotely (USA). Join us in Simplifying Complex Care!  

Soleo Health Perks:

• Competitive Wages  
• 401(k) with a Match 
• Referral Bonus    
• Paid Time Off 
• Great Company Culture  
• Annual Merit Based Increases 
• No Weekends or Holidays   
• Paid Parental Leave Options 
• Affordable Medical, Dental, & Vision Insurance Plans 
• Company Paid Disability & Basic Life Insurance 
• HSA & FSA (including dependent care) Options 
• Education Assistance Program   

The Position:

Managing the billing and collection function for all payer groups under their responsibility. Responsible for escalating billing and/or collection issues. Ability to assist other branches when needed or to be a point person for Special Company projects. Manage the oversight of the reimbursement team members in their area as applicable. Responsibilities include:

• Performs and manages the day-to-day reimbursement activities from delivery to payment process for all payer segments except for Medicare. This includes all aspects of the billing and collection functions as outlined in the individual job descriptions
• Monitors cash flow, day’s sales outstanding (DSO), and bad debt losses for payer segment by business to ensure profitability measures are met and maintained. 
• Monitors billing requirements and receivables pursuant to contracts with third party payers or government programs.
• Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices. 
• Manages and analyzes account summaries of outstanding receivable balances for negotiations or settlements. 
• Revenue review and profitability reporting for accurate margins on a daily, weekly, monthly basis. 
• Complete Month end required activities per company deadlines 
• Reviews/statuses adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies.
• Acts as the first point of contact for escalation issues from the service provider regarding unresolved unknown deductions on payments received from payer or failure of payer to comply with contract terms as well as for billing and collections issues/claims.
• Provides input regarding procedures, develop strategies and new techniques to eliminate errors, increase to cash flow, reduction in avoidable bad debt loss, including recommended changes to billing practices, forms etc.  
• Supports Corporate and Area Reimbursement Manager in the formulation of strategies relating to accounts receivable management. 
• Monitors adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies.
• Manage direct reports which includes annual reviews, potential disciplinary actions, interviewing, hiring, timecard approval, etc.
• Subject matter expert for various areas of the revenue cycle
• Training and onboarding of new employees 
• Monitoring employee productivity, accuracy, and overall work quality 
• Other duties as assigned

Schedule

• Monday - Friday
• 8:30a - 5:00p

Requirements

• 2-4 years of billing and collections experience required
• Home Infusion and Specialty pharmacy required
• Previous management or supervisory experience preferred
• Knowledge of financial reporting, HIPAA guidelines, federal, state, and local regulations related to healthcare providers, billing, and collections
• Experience taking initiative and executing processes resulting in expected outcomes
• Experience with analyzing and reporting data to identify issues, trends, or exceptions to drive improvement of results and find solutions.
• Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
• CPR+ systems experience preferred
• Excel, outlook, word experience

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! 

Soleo’s Core Values:

• Improve patients’ lives every day
• Be passionate in everything you do
• Encourage unlimited ideas and creative thinkin