Revenue Cycle Manager, Specialty Pharmacy
Ethos Boston Full-time
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
- 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
- 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
Framingham, 20 mi from Boston
support. We’re seeking a collaborative, strategic, and forward-thinking Vice President of Revenue Cycle Management to lead and strengthen our enterprise-wide revenue cycle operations.
In this executive leadership role, you’ll partner closely with Finance...
WithingsBoston
state compliance, credentialing, and telehealth-specific licensing requirements.
• Direct experience with billing, revenue cycle management, denials, and value-based or risk-based financial models; G-code experience is a strong plus.
• Exceptional...
Boston
but not required (Common IT & IIM Offerings include: Revenue Cycle Management Services, IT Staffing, HIPAA Risk Compliance, Cyber Security, Referral Management, Enterprise Content Management, Document Management, RPA)
• Proven record of engaging and securing net...