Senior Reimbursement Manager

Soleo Health is seeking a Senior Reimbursement Manager to support our Home Infusion Specialty Pharmacy Operations Remotely (USA). Join us in Simplifying Complex Care!

Soleo Health Perks:

• Competitive Wages & Incentive Compensation
• 401(k) with a Match
• Referral Bonus
• Paid Time Off
• Great Company Culture
• 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.
• 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.
• Completes all necessary managerial tasks for direct reports including hiring, training, holding meetings, addressing performance issues, and approving payroll

Schedule:

• Monday-Friday 8:30-5p

• Home Infusion and Specialty pharmacy experience required
• 4 years of billing and collections experience
• 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 thinking
• Make decisions as if you own the company
• Do the right thing
• Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.

Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Keywords: Collections manager, billing, corporate, revenue cycle management, RCM