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Revenue Cycle Manager, Specialty Pharmacy

Posted about 1 month ago

OfficeBoston, Massachusetts, United StatesSE

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
Job details
Workplace
Office
Location
Boston, Massachusetts, United States
Experience
SE

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