Job description

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement.Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!

Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.

PREMIER BENEFITS - For FULL TIME Employees:

• Competitive Pay

• 401K Matching Plan - Up to 4%

• Quarterly Bonus Opportunities

• Medical, Dental & Vision Insurance

• Employer Paid Life Insurance

• Short Term / Long Term Disability Insurance

• Paid Vacation Time Off

• Paid Holidays

• Referral Incentives

• Employee Assistance Programs

• Employee Discounts

• Fun Company Events

Description of Responsibilities

Coordinates and performs business office activities involved with revenue cycle management. Produces and follows established protocols for revenue cycle management. Oversight of and participation with all billing, collecting, posting activities, correspondence, audit responses, compliance with contracted payers, private accounts, cash accounts. Supervises billers/collectors and billing clerks.

Reporting Relationship

Director of Revenue Cycle

Scope of Supervision

Billing and Collections Department Employees

Responsibilities include the following:

Trainer for all new Billing Department hires.

Accounts Receivables review manager for all accounts.

• Reviews morning refill list daily for high balance patients and payment follow ups. Notifies pharmacy of accounts unable to be dispensed. Fixes invoicing errors and works with billers and collectors to maintain high cash velocity.
• Review and maintain an accurate and fair split for payers between billers.
• Oversees daily mail/correspondence (includes logging checks into excel & disbursing mail to billers).
• Oversees and helps when needed the closing of EFTs and check postings for all payers.
• Answers daily questions of billing department, helps the department with collecting questions and/or concerns, jumps in as necessary with occasionally backup billing support and ensuring claims are transmitted when employees are absent to avoid payment delays.
• Customer service and resolution of complaints for both patients and employees.
• Claim Pricing Negotiations and authorization back up as applicable.
• Responsible for all payment plan approvals with patients.
• Supports the Director of RCM for adding all new payers to CPR+ with proper billing functions.
• Responsible for auditing patient accounts to assure all signed consent forms are scanned into the proper account. Works with the Intake Department to correct any missing documents.
• Handles all refunds for billing.
• Reviews/ analyzes new contracts for billing/coding guidelines.
• Closes the month in CPR+ when needed.
• Responds to payer audit requests within the time frame required and review with the Director RCM as needed.
• Assists with Nursing Delivery Ticket confirmations
• Reviews new contracts for billing and uploads pricing matrix into CPR+.
• Assists with training for Authorizations and Insurance Verification Teams
• Handles special accounts and patient workers comp cases
• Manages staff schedule and Time Off Requests
• Manage Billing Department employee time reporting and approvals
• NOGO tracking updates

Minimum Qualifications:

• Ability to effectively communicate with all levels of the organization
• Effective leadership, interpersonal, time management and organizational skills.
• Computer skills that include word processing, and efficient use of the internet and e-mail.
• Detail-oriented with accuracy.
• Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms.
• Familiarity with medical and/or home infusion terminology.
• Knowledge of insurance verification procedures.

Education and/or Experience:

• Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) – BA/BS or MBA desirable.
• Must have seven (5) to eight (7) years management experience.
• Must have Home Infusion Billing / Collecting experience.
• Must have Home Infusion Billing experience with State of California payers.
• CPR+ experience desirable.
• Billing/Coding Certifications a plus.
• Prior experience in a consumer related business is also of benefit.

Job Type: Full-time

Pay: $70,000.00 - $85,000.00 per year

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical billing: 3 years (Required)

Work Location: One location

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