Revenue Cycle Manager, Specialty Pharmacy

apartmentEthos placeBoston scheduleFull-time calendar_month 

Medical Revenue Cycle Manager (Remote Position)

(Excellent Benefits Package, Lucrative Compensation package and a fully remote schedule!)

Responsible for supervising accounts receivable and collections operations within a specialty pharmacy and infusion billing environment. Oversees collection staff, payer follow-up, denial resolution, aging AR reduction, and reimbursement recovery efforts.

Position Responsibilities:

  • Supervise and mentor AR and collections staff
  • Manage outstanding claims follow-up and denial resolution
  • Monitor AR aging and collection performance metrics
  • Escalate payer reimbursement and underpayment issues
  • Ensure accurate documentation within billing systems
  • Coordinate appeals and reconsideration submissions
  • Train staff on payer guidelines and collection procedures
  • Collaborate with billing, intake, pharmacy, and finance teams
Requirements
  • 3+ years healthcare AR or collections experience
  • Supervisory or leadership experience preferred
  • Experience in specialty pharmacy, infusion, or medical billing
  • Knowledge of Medicare, Medicaid, commercial insurance, and PBM billing
  • Strong communication, organizational, and analytical skills
  • Experience with billing and revenue cycle systems
Benefits
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Family Leave (Maternity, Paternity)
  • Short Term & Long Term Disability
  • Training & Development
  • Work From Home
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