
Prochant
Remote Jobs
Prochant is the leading reimbursement firm with a dedicated focus on HME and pharmacy.
3 Jobs
Infusion Reimbursement Manager
ProchantProchant is the leading reimbursement firm with a dedicated focus on HME and pharmacy.
• Manages the billing and collection function for all payer groups including Medicare / Medicaid. • Escalates billing and/or collection issues as needed. • Monitors cash flow, DSO, and bad debt losses for payer segment to ensure profitability measures are met. • Ensures compliance with federal, state, and local governments, third party contracts, company policy, and accounting practices. • Analyzes account summaries of outstanding receivable balances for negotiations or settlements. • Completes month-end required activities per company deadlines. • Reviews adjustments to claim balances and delinquent account transfers to collection agencies. • Acts as the first point of contact for escalation issues from the service provider regarding billing and collections issues/claims. • Provides input regarding procedures, develops strategies to eliminate errors, and increase cash flow.
Infusion Reimbursement Manager
ProchantProchant is the leading reimbursement firm with a dedicated focus on HME and pharmacy.
Prochant is seeking an Infusion Reimbursement Manager to work remotely. The Infusion Reimbursement Manager is responsible for managing the billing and collection function for all payer groups including Medicare / Medicaid. Responsible for escalating billing and/or collection issues. This is a highly collaborative role and the ideal candidate can both manage the day-to-day reimbursement as well as document and train other staff. Essential Duties & Responsibilities - Performs and manages the day-to-day reimbursement activities from delivery to payment process for all payer segments. This includes all aspects of the billing and collection functions as outlined in the individual job descriptions - Monitors cash flow, days 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 broader reimbursement team in the formulation of strategies relating to reimbursement management. - Monitors adjustments to claim balances and delinquent account transfers to collection agencies according to company procedures and policies. - Assist with training or onboarding of new employees - Other duties as assigned
Reimbursement Success Manager
ProchantProchant is the leading reimbursement firm with a dedicated focus on HME and pharmacy.
• Responsible for developing strong relationships with customers • Connect with key business executives and stakeholders • Lead and plan billing operations for multiple medical billing departments primarily in the DME, Sleep, and Infusion space • Design, implement, and enforce policies and procedures • Streamline effective billing processes across multiple clients and markets • Ensure billing and cash flow stay consistent • Look for ways to improve and increase collections • Proactively identify leading collection risk indicators • Work with cross-functional internal teams, such as operations and sales teams