Job Description

This is a 100% remote position 

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

AIS Healthcare is looking for an experienced and motivated Accounts Receivable Collections Manager to join our dynamic team! This position is responsible for directing and coordinating the day-to-day activities of the Workers Compensation and the Aged Accounts Receivables Teams in an effort to maximize reimbursements from various payors. The Manager oversees these groups, whose primary responsibilities include; managing denials, preparing appeals, and ensuring reimbursements are aligned with the AIS’ contracted payors. The Collections Manager will routinely perform quality reviews, determine training needs, and assist in the documentation of policies and procedures.

The ideal candidate should have outstanding communication skills, an in-depth knowledge of collection practices, work in compliance with Federal and State rules, regulations, and policy related to billing and collection activities. 

AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, hybrid office/work from home opportunity, growth, and more! Additionally, we offer a 100% work from home model.

EDUCATION AND EXPERIENCE:

• A high school diploma or general education degree (GED) equivalent is required; bachelor’s degree preferred.
• 5-7 years of healthcare industry experience required.
• A minimum of 6 years in Revenue Cycle Management experience required.
• A minimum of 2 years of Supervisory experience in an AR Leadership required.
• Home Infusion, Intrathecal Pain Management experience preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality.
• Oversees the operations of the collections department, encompassing contract analysis, accounts receivables, denials, claims monitoring, adjustments, appeals and staff productivity and quality.
• Serves as the Subject Matter Expert (SME) for all collection and billing processes.
• Maintains positive contact with other departments to obtain patient or insurance information needed for claims payment.
• Completes hiring, scheduling of staff, time, and attendance review.
• Conducts performance management and reviews, including disciplinary action, as necessary.
• Prepares, analyzes, and distributes bi-weekly progress reporting.
• Prepares, analyzes, and distributes monthly and/or quarterly score cards of department.
• Responsible for understanding all procedures within regulatory mandates.
• Performs quality reviews on staff to monitor and improve efficiency of collection and billing operations.
• Participates in the development and implementation of operating policies and procedures.
• Supervises the collection staff, which includes, but is not limited to work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance both in an in-office and remote setting..
• Consistently looks for areas to maximize claim reimbursement.

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintains a thorough understanding of NDC (National Drug Code) numbers, HCPC Units, metric quantities, and knowledge of infusion supplies.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Evaluates payments/denials received for correctness and ensures they are applied accordingly.
• Performs other job related duties as assigned.

QUALIFICATION REQUIREMENTS:

• Understanding of all Revenue Cycle Management functions and integration of one another.
• Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
• Strong work ethic with personal qualities of integrity and credibility.
• Ability to deal with highly sensitive and confidential material, strong knowledge of HIPAA privacy guidelines and requirements.
• Competence with ICD-9 and ICD-10.
• Knowledge of medical terminology.
• Knowledge of Worker Compensation rules and regulations, preferably from multiple states.
• Ability to lead and direct a diverse department in an environment with frequent changes and priorities.
• Ability to communicate effectively and professionally with patients, visitors, physicians, and coworkers.
• Self-directed, detail oriented, conscientious, organized, and able to follow through.
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments to meet timelines.
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Expert in Microsoft Office, including Outlook, Word, and Excel.
• Travel up to 25%.

Steps to Apply:

· To apply for this role, you must complete a Culture Index Assessment to be considered.  Please note that your application will not be considered if the Assessment is not completed.

· Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.

· AIS HealthCare™   is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.

· We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.

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