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5 дней назад

Supervisor, Credit & Collections

Формат работы
onsite
Тип работы
fulltime
Грейд
lead
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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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