Job Abstract

Promptcare is seeking a highly motivated and experienced Reimbursement Manager to join our team. As a Reimbursement Manager, you will be responsible for managing the reimbursement process for infusion services. You will work closely with patients, healthcare providers, and insurance companies to ensure timely and accurate reimbursement. If you are a self-starter with a passion for healthcare reimbursement and a desire to make a difference in the lives of patients, we encourage you to apply for this exciting opportunity. To learn more about our company, please visit PromptCare In-home Respiratory and Infusion

Reporting to: VP of Reimbursement

Job Type: Full-time, 40 hours per week, Hybrid, Mon-Fri

Location: New Providence, NJ

• High School Diploma. Associates preferred
• Experience in medical office, patient contact and related experience
• Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician offices
• Infusion background is required
• Medical Reimbursement background is preferred
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, CPR+ and/or Caretend experience is preferred
• Strong work ethic with attention to detail and quality is required
• Ability to identify and address problem accounts is required
• Solid knowledge of authorizations and re-authorizations processes is required
• 3-5 years managerial experience is required

Job Responsibilities, included but not limited to:

• Assist the team with complex issues and problems and provide constructive feedback and training as necessary to ensure resolution
• Manage Reauthorization workload and ensure successful completion of the team’s workload in a timely manner
• Participate in projects or process updates as they relate to improving key outcomes
• Identify deficiencies and work to improve them through collaboration within the team and with other departments
• Work collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviews
• Ensure staff meets quantity requirements while also maintaining quality
• Work collaboratively with other departments staff such as Intake, Sales, Pharmacy, Nursing and Reimbursement to ensure timely approvals or resolution of issues
• Manage timeliness of Re-Authorization submission to ensure that there are no delays in patient therapies and held revenue remains below established threshold and there is minimal bad debt write offs
• Prepare reports and do analysis to ensure proper workload distribution
• Managed escalated issues, communicate changes in payer rules that affect Authorizations / Reimbursement or require changes in current processes
• Provide training and re-training for staff as necessary
• Provide timely and regular feedback to staff on processes, compliance, and performance

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary. This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 35 pounds.

Benefits & Perks

• Competitive Salary
• Medical, Dental, Vision Package
• 401(k) plan (discretionary)
• PTO - Vacation, Sick and Personal days, and paid holidays
• Referral bonuses & Discount Ticket Program
• Lunch & Learn Programs
• Employee Recognition Program

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.