Soleo Health is seeking a Collections Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion collections and supervisory experience required.
Soleo Health Perks:
- Competitive Wages
- 401(k) with a Match
- Referral Bonus
- Paid Time Off
- Great Company Culture
- Annual Merit Based Increases
- No Weekends or Holidays
- Paid Parental Leave Options
- Affordable Medical, Dental, & Vision Insurance Plans
- Company Paid Disability & Basic Life Insurance
- HSA & FSA (including dependent care) Options
- Education Assistance Program
The Position:
The Collections Manager is responsible for overseeing the accounts receivable collections process within an assigned payor, therapy type, or geographical location to ensure timely and accurate reimbursement. This role manages daily collection operations, supervises and develops collection staff, and works to reduce outstanding accounts receivable while maintaining compliance with payer requirements and company policies. The Collections Manager collaborates with billing, reimbursement, and operational teams to identify trends, resolve payer issues, and implement process improvements that optimize revenue cycle performance. Responsibilities include:
- Oversee collection activities related to the accounts receivable across multiple site locations, payors, and therapies to maximize accurate and timely payment.
- Monitor aging reports and key AR metrics to identify trends, risks, and opportunities for improvement.
- Ensure assigned accounts are researched and worked appropriately, including identification of billing errors, short payments, overpayments, denials/rejections, unpaid claims, and cash application discrepancies.
- Oversee appeals and payer follow-up processes to ensure deadlines are met and appropriate documentation is submitted.
- Review and approve potential adjustments and refund requests in accordance with company policies.
- Ensure all relevant phone conversations and collection activities are well documented and maintained within company systems.
- Identify trends in payer denials, payment delays, or billing issues and collaborate with billing and revenue cycle teams to implement corrective action.
- Ensure all collection activities comply with federal, state, and local regulations, third-party payer requirements, and company policies.
- Work closely with insurance companies, patients, and other company personnel to resolve escalated account issues.
- Prepare reports and communicate collection performance, risks, and improvement opportunities to leadership.
- Participate in recruitment, onboarding, and training of collection staff.
- Utilize payer portals, electronic tools, and internal systems to monitor claims status and expedite resolution of outstanding balances.
- Support special payer projects, audits, or process improvement initiatives related to collections and reimbursement.
- Stay informed of payer guidelines, billing deadlines, and appeal requirements.
- Supervise, coach, and develop a team of collection specialists to ensure productivity, accuracy, and adherence to company policies and procedures.
- Assign and monitor workload, ensuring timely follow-up on accounts receivable and payer issues.
- Provide training and ongoing support to staff regarding payer policies, appeal processes, and best practices in collections.
- Conduct regular performance reviews and provide feedback to support staff development and performance improvement.
- Serve as a point of escalation for complex collection issues, payer disputes, and account resolution challenges.
- Perform other duties as assigned.
Schedule: