At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.
CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.
The Revenue Cycle Manager, Collections is responsible for managing reimbursement activities for CSI Pharmacy with a focus on collections, regulatory compliance, and revenue cycle procedures. Build a skilled team to ensure prompt and successful payer reimbursements while delivering excellent service to both internal and external customers.
Salary Range: $85,000 - $92,000/yr (DOE)
Bonus Opportunity: This role is eligible for an annual bonus of up to 10% of their annual salary
Schedule: (Remote) Monday - Friday, 8:00am - 4:30pm CST
Travel: This role is expected to travel 3-5xs/yr to Plano, TX for various team meetings, management meetings, etc.
NOTE: This role is required to work the above schedule specifically in CST
Include the following. Other duties may be assigned, as necessary.
Oversee the team to ensure timely claim reconciliation processes are executed efficiently.
Audit collection notes to confirm appropriate and effective follow-up actions are completed within required timeframes.
Monitor denial rates and provide comprehensive feedback on payer and denial trends.
Review and approve adjustment requests following established policies.
Maintain clear and consistent communication with other departments when identifying denial or delay in payment issues caused by those departments.
Serve as the primary escalation point for the team to resolve complaints promptly.
Manage scheduling to optimize resource allocation to meet key performance indicators (KPIs).
Monthly reporting to include: KPI reporting, denial analysis, cash performance greater than 90 days.
Monitor Monday Boards for timely and accurate resolution.
Track workload distribution and perform ongoing assessments to identify staffing and operational improvement opportunities.
Deliver individual coaching, mentoring, and feedback to management; conduct annual performance evaluations and administer counseling as needed to address performance matters.
Monitor staff timecards for accuracy and ensure timely approvals for payroll processing.
Implement, communicate, and uphold standard operating procedures across functional areas to support quality, compliance, and productivity objectives.
Audit team transactions to verify accuracy and compliance with company policies, identifying training needs where necessary.
Interview, select, and train personnel to satisfy business requirements and foster the development of an effective team.
To succeed in this role, individuals should meet the requirements below. Accommodation is available for those with disabilities.
Demonstrate professionalism and strong communication.
Possess excellent verbal and written skills.
Capable of multitasking and adapting quickly.
2-4 years of home infusion billing and/or collections highly preferred
Strong understanding payer contract interpretation
Strong understanding of government payer standards
The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.
This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.
NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
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