About River’s Edge Pharmacy:
River’s Edge Pharmacy has become a leader in infusion therapy services. Administered by specially trained infusion nurses, these services are provided at standalone locations, physicians’ offices. Each location provides individualized care in a private setting for procedures including IVIG, Hemophilia, Chemotherapy, TPN, and Pain Management.


The River's Edge Story:
River’s Edge Pharmacy started in Rancho Mirage, CA in 2008 to address the need for compassionate care by specialty pharmacies. In 2013, the Company moved to a larger facility in Palm Desert, CA.

The successful execution of River’s Edge Pharmacy’s growth strategy led to the opening of a total of nine infusion locations and two pharmacies in California.

Since the expansion, River’s Edge Pharmacy has become the specialty pharmacy and infusion service provider of choice for patients and physicians seeking exceptional expertise, human kindness, and professional guidance.

The team of pharmacists, technicians, and care experts at River’s Edge Pharmacy serve as patient advocates by combining professional expertise with caring support. These services are all part of River’s Edge Pharmacy’s commitment to helping patients live better lives while navigating the complicated world of medicine and health insurance.

Position Overview:
As a core member of the Collections team, you will be expected to perform and supervise all activities related to the collection of all Revenue Cycle Management, including but not limited to Medicare, Medicaid, commercial insurances and patient balances. The Revenue Cycle Lead will work closely with collectors’ onsite and in other locations, and with other management to identify and share information about trends or patterns in payment activity. The Revenue Cycle Lead will assure that the reimbursement department maintains compliance with company policies and all applicable laws and regulations regarding billing, collections, banking and the security of patient financial information.

  • Insures that all day to day operations work towards company goals for cash collections and A/R over 90 days
  • Supervise the process of collections as well as assist with the receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
  • Assures reimbursement department complies with established company criteria for timeliness and accuracy of billing and collections
  • Review and post adjustments within eligible range of $250.00 and under
  • Performs research of account balances that exceed $10,000 which are 75 days or greater to ensure collector managing account is taking appropriate actions to resolve balance by 90 days
  • Conducts monthly audits of a sample of accounts to assess collector performance
  • Identifies inefficient processes; makes recommendations to automate or eliminate
  • Monitors workload of staff; makes recommendations to management of staffing needs workload becoming unmanageable and performance suffers
  • Identifies patterns of short-payment, overpayment or non-payment and brings them to the attention of appropriate specialist
  • Works with the billing and cash posting team to ensure proper application of cash receipts
  • Contacts payers by telephone, mail, email or other appropriate means to secure copies of missing remittance documents as needed
  • Monitors the adherence to state and federal regulations, and to company policies regarding to compliance, integrity, patient privacy and ethical billing and collection practices
  • Assist in implementation of training program for Collection Team Leads, Specialists and Patient Collection Specialists
  • Participates in and coordinates training for all new staff
  • Assist with competency testing for all training materials
  • Interacts with third party collection agencies as needed

Plus – may perform other duties as assigned.

Education:

  • High School Diploma or equivalent required
  • Bachelor’s degree in Business, Accounting, or equivalent experience preferred.

Experience:

  • A minimum of 5 years of experience in medical billing, collections, and accounts receivable (to include 2 years of supervisory experience) and working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement, and Cash Applications
  • At least 1 year of home infusion experience
  • Working knowledge of automated billing systems; experience with CPR+/Mediware software preferred
  • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
  • Proficient with Microsoft Office Suite or related software.

Behavioral Competencies:

  • Excellent verbal and written communication skills.
  • Excellent interpersonal, negotiation, and conflict resolution skills.
  • Excellent organizational skills and attention to detail.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Ability to act with integrity, professionalism, and confidentiality.

Supervision and Management Responsibilities:

  • Directly supervises individual contributors

 Working Conditions:

  • Standard office environment.
  • Occasional travel within Southern California may be required.
  • Full-time position with standard business hours; flexibility to work additional hours during peak periods is expected.

Confidential Information:

This position has access to confidential information such as patient information and company information.

Compensation:

Pay range (DOE): $30 - $34 / hour

Actual base pay could vary based on factors including but not limited to experience, subject matter expertise, geographic location where work will be performed, and the applicant's skill set. The base pay is just one component of the total compensation package for employees. Other rewards may include an annual cash bonus and a comprehensive benefits package.

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Flexible spending account
  • Health savings account
  • 401(k) matching
  • Employee Assistance Program
  • Paid sick time
  • Paid time off
  • Wellness program
  • Education program

Equal Opportunity Employer:
We are an equal opportunity employer committed to diversity and inclusion. We celebrate diversity and are dedicated to fostering an inclusive environment for all employees