5 дней назад
Supervisor, Credit & Collections
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Supervisor, Credit & Collections (Healthcare Reimbursement): Leading payer-facing accounts receivable, remittance processing, and reimbursement workflows for pharmacy services with an accent on claims resolution, payer integrations, and payment accuracy. Focus on optimizing ERA/EFT processes, implementing new pharmacy locations, investigating discrepancies, and improving collections performance through analytics and process improvement.
Location: Grapevine, Texas, United States
Company
develops healthcare solutions designed to improve operational efficiency and patient outcomes.
What you will do
- Lead payer-facing accounts receivable, collections, remittance processing, and reimbursement workflows.
- Establish, maintain, and optimize Electronic Remittance Advice (ERA/835) and Electronic Funds Transfer (EFT) processes.
- Oversee onboarding of new pharmacy locations, including payer portals, Medicaid and Medicare access, system permissions, reconciliation services, and file integrations.
- Partner with payers, insurance carriers, vendors, pharmacy operations, and internal stakeholders to resolve payment and remittance issues.
- Review claims and liabilities, investigate discrepancies, process adjustments, and resolve outstanding balances.
- Develop reports, dashboards, and spreadsheets while supporting process improvements and reimbursement accuracy.
Requirements
- High school diploma or GED equivalent.
- At least 1 year of experience in accounts receivable, medical billing, healthcare reimbursement, or revenue cycle operations.
- Knowledge of claims processing, payer reimbursement practices, and healthcare revenue cycle operations.
- Experience with financial applications, databases, spreadsheets, word processing software, and intermediate Microsoft Excel.
- Strong analytical, problem-solving, communication, organizational, and prioritization skills.
- Ability to maintain confidentiality and comply with HIPAA and regulatory requirements.
Nice to have
- Experience in pharmacy, specialty pharmacy, or healthcare services.
- Knowledge of ERA/835, EFT enrollment, payer portal administration, claims management, reconciliation, and payment posting systems.
- Familiarity with Medicaid, Medicare, and commercial payer reimbursement processes.
- Associate's degree or healthcare revenue cycle certification.
Culture & Benefits
- Collaborate with payers, reconciliation vendors, pharmacy operations teams, and internal stakeholders.
- Support knowledge sharing, coaching, continuous learning, and team development.
- Promote customer-focused problem solving, process improvement, accountability, and operational adaptability.
- Drug screen is not required.
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