AIS Healthcare

Direct and administer operations of support functions in Financial Services including revenue cycle management, team leadership, process improvement, compliance, and training to achieve cash collection goals. | Bachelor's degree or equivalent experience, 5+ years in revenue cycle management, healthcare finance operations experience, knowledge of federal regulatory guidelines, strong leadership and communication skills, proficiency in Microsoft Office, and ability to manage and train staff. | AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD), and Infusion Care solutions. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience. The Support Director is a full-time position responsible for directing and administering the operations and activities of support for AIS Healthcare’s Targeted Drug Delivery (TDD) services. Working through a management team and staff, the Support Director is responsible for providing guidance, leadership, and direction to all of those who are involved in activities driving the timely collections of accounts receivable to include Intake, Billing, Cash Posting, Document Management, Training and QA, to achieve cash collection goals in the most cost-effective manner. The Support Director is responsible for the oversight of day-to-day operational protocols and supervision of assigned personnel for the Financial Services department. The Support Director will have strong knowledge of all aspects of revenue cycle procedures, practices, and concepts, reporting and analysis of operational data, develop and measure performance goals and individual accountability. Manage the development of revenue cycle training initiatives, accountability for policy and procedures and organization of strategies to enhance and drive continuous process improvement. The Support Director works in a collaborative manner with departments interacting with both internal and external customers. The Support Director strives to meet and exceed the needs of its customers, demonstrates financial acumen, sets and achieves targets, and facilitates a collaborative team that provides a focus on accuracy and support. Additionally, the Support Director is responsible for mentoring and coaching to produce optimum work habits and achieve highest level of competency of leadership and staff. AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, 100% work from home opportunity, growth, and more! Education And Experience • Bachelor’s degree in Business, Finance, or related field required. • Equivalent work experience may substitute college degree requirement. • Minimum of 5 years in revenue cycle management experience, required. • Experience in healthcare provider finance operations, required. • Knowledge of Federal regulatory guidelines Essential Duties And Responsibilties • Oversees the management operations of all support functions to the Financial Services departments, encompassing revenue cycle analysis, reporting and communication of key indicators related to accounts receivables, team performance and revenue cycle performance. This includes identifying and reporting information that puts the organization’s assets at risk. • Manages relations with payers and providers to result in high reimbursement rates and a low level of denials. • Ensures all responsible areas are compliant and responsive with the company's goal of continuous improvement of our revenue cycle. • Oversees and leads revenue cycle process improvement. • Working with leadership, coordinates, trains, and communicates system enhancements, policy, and standards. • Responsible for the generation of timely note entries that accurately reflect accounts receivable activity. • Oversees staff completion of all mandatory compliance and regulatory trainings. • Escalates any significant issues related to responsible departments, or payers to the Financial Services Sr. Director. • Stays abreast of regulatory requirements and monitors compliance with company policies and procedures, ensuring timely staff education on relevant changes and developments. • Communicates relevant changes and developments in payer requirements to staff. • Ensures quality review measurements are in place. • Facilitates the implementation and monitoring of standard policies, processes, reporting, and education programs. • Manages staff, providing recommendations for hiring, promotion, salary adjustment and personnel action to leadership when appropriate. • Identifies and implements process improvements to lower costs and improve services to internal and external customers. • Responsible for the development and retention of competent managers, supervisors and staff that align with the organization's objectives. • Provide leadership and support to supervisors ensuring they have a strong understanding of their roles and responsibilities and the proper skill set and training to succeed. • Performs and/or participates in projects, systems development, and other tasks as needed. • Shares knowledge gained with other staff members and works as a team member. • Interacts with others in a positive, respectful, and considerate manner. • Performs other job-related duties as assigned. Qualification Requirements • Demonstrated ability to meet deadlines and provide accurate information in a dynamic environment. • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. • Strong work ethic with personal qualities of integrity and credibility. • Ability to deal with highly sensitive and confidential material, strong knowledge of HIPAA privacy guidelines and requirements. • Competence with ICD-9 and ICD-10. • Knowledge of medical terminology. • Ability to lead and direct a diverse department in an environment with frequent changes and priorities. • Ability to communicate effectively and professionally with patients, visitors, physicians, and coworkers. • Self-directed, detail oriented, conscientious, organized, and able to follow through. • Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments to meet timelines. • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. • Ability to make independent decisions when circumstances warrant; make prompt and accurate judgments regarding front end and support operations. • Skill in developing, implementing, and administering work processes. • Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. • Tolerant of frequent interruptions and distractions from staff and other internal support teams. • Proficient in Microsoft Office, including Outlook, Word, and Excel. • Travel up to 25%. Culture Index Candidate Assessment Why does AIS utilize the Culture Index Assessment? • We recognize how important our employees are to the success of our company. Our company continues to thrive due to a culture of teamwork and our ability to match potential hires with positions that best utilize their natural traits and skillsets. AIS utilizes the Culture Index Candidate Assessment surveys to help us select the best match for our positions. How can I complete the assessment? • Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete. portal.cultureindex.com/public/survey/general/0BFB8F0000 • AIS HealthCare™ is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes. We offer a wonderful work culture, looking for an impact player who is positive, earnest and hardworking

Manage accounts receivable collection processes including contract analysis, denial management, appeals, and resolving billing issues with insurance companies for infusion care services. | 3-5 years of healthcare industry and medical billing/collections experience, preferably in home infusion or pain management, with strong communication and organizational skills. | This is a 100% remote opportunity; however, please only apply if you have3 to 5 years of medical insurance collection experience. AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience. AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities. AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work from home model. Education And Experience • A high school diploma or general education degree (GED) equivalent is required. • 3-5 years of healthcare industry experience required. • 3-5 years of medical billing and collections experience required. • Home Infusion, Intrathecal Pain Management experience preferred. Essential Duties And Responsibilities • Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality. • Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary. • Evaluates payments/denials received for correctness and ensures they are applied accordingly. • Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures. • Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly. • Processes refund requests, in accordance with policies and procedures. • Maintains contact with other departments to obtain patient or insurance information needed for claim payment. • Responsible for understanding all procedures within regulatory mandates. • Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements. • Makes calls to troubleshoot payment discrepancies and establish resolution. • Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis. • Consistently looks for areas to maximize claim reimbursement. • Resolves issues that created a denial within 5 days of receipt of denial. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. • Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies. • Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes. • Shares knowledge gained with other staff members and works as a team member. • Interacts with others in a positive, respectful, and considerate manner. • Performs other job-related duties as assigned. Qualification Requirements • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. • Strong work ethic with personal qualities of integrity and credibility. • Self-directed, detail oriented, conscientious, organized, and able to follow through. • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. • Tolerant of frequent interruptions and distractions from staff and other internal support teams. • Proficient in Microsoft Office, including Outlook, Word, and Excel. Steps To Apply To apply for this role, you must complete a Culture Index Assessment to be considered.Please note that your application will not be considered if the Assessment is not completed. Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete. portal.cultureindex.com/public/survey/general/0BFB8F0000 AIS HealthCare™is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes. We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.