Reimbursement Manager - Paragon Healthcare at Elevance Health in Plano, Texas

Posted in Other 9 days ago.





Job Description:

Reimbursement Manager




Be Part of an Extraordinary Team



A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.



Location: Must reside within 50 miles / 1 hour commute of one of the following PulsePoints:


  • Plano, TX - 3033 West President George Bush Hwy


  • Atlanta, GA - 740 W Peachtree St NW


  • Nashville, TN - 22 Century, Blvd.


  • Wilmington, DE - 123 S Justison St.



Note: As part of our hybrid workforce strategy, this role requires a minimum of 1day per week working in your local PulsePoint.



Build the Possibilities. Make an Extraordinary Impact.



The Reimbursement Manager is responsible for managing the coordination of patient and insurance billing for the medical facility.



How you will make an impact:


Primary duties may include, but are not limited to:


  • Notifies/locates customers with delinquent accounts and attempts to secure payments.


  • Prepares and updates monthly production reports for billing and customer service.


  • Monitors collections and decrease receivables with special attention to aged high value accounts.


  • Reviews and monitors status of accounts receivable; establishes routine collection techniques and alternative methods as needed.


  • Monitors balancing logs for charges, collections, and adjustments.


  • Compiles and reports month-end figures for Board Meetings.


  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.





Minimum Requirements:


  • Requires a H.S. diploma or GED and minimum of 2 years of experience in a related field; or any combination of education and experience, which would provide an equivalent background.





Preferred Skills, Capabilities and Experiences:


  • Experience optimizing processes preferred.


  • Experience building payer relationships to increase cash flow preferred.


  • Proficient in Microsoft Office preferred.


  • Infusion billing and collection experience preferred.


  • Experience with commercial, private, government, Medicare and Medicaid payers preferred.



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