Revenue Cycle Lead - Home Infusion Business Office

Fairview Health Services • Shoreview, MN

1d

About The Position

The Lead position serves as a key resource within the business office, providing operational support, training, workflow guidance, and daily oversight to ensure accurate, efficient, and compliant billing. This role functions as a subject matter resource for staff, collaborates with internal departments to resolve issues, and supports continuous process improvement to reduce revenue leakage and improve financial performance. Duties align with revenue cycle principles including charge capture accuracy, payer compliance, benefit verification, authorization workflows, billing, and collections. This role will provide services for management of Fairview Homes Infusion as well as external customers. This includes consulting and training services for external consulting engagements.

Requirements

• B.S./B.A. Business Pharmacy, or equivalent area or
• OR Associates of Applied Science with 4 years of experience in home infusion billing or
• OR 10 years of experience in home infusion billing
• 4 years Healthcare experience in revenue cycle functional area
• 4 years Home infusion billing, reimbursement, or revenue cycle operations

Nice To Haves

• 1 year Experience in training, education or team leadership
• 2 years Supervisory experience

Responsibilities

• Using strong knowledge of insurance, pharmacy practice, revenue cycle and in accordance with department Standard Operating Procedures (SOPs) and any regulatory or compliance requirements: Ensure accurate benefit investigation, payer verification, authorization acquisition, and documentation. Review accounts for completeness, correct errors, and collaborate with staff to improve firstpass clean claim rates. Assist with denial prevention, rootcause analysis, and followup activities. Partner with billing, coding, intake, pharmacy, nursing, and payer relations teams to address barriers to reimbursement. Maintain knowledge of current billing and follow up requirements. Ensure accurate and timely billing, collection, and posting of accounts.
• Provide subject matter knowledge to Fairview and with external clients Serve as a subject matter expert for complex billing and collections scenarios. Collaborate with billing, pharmacy, and clinical teams to resolve billing-related issues. Present and communicate with external clients – providing expertise and insight on revenue cycle and applicable billing system Standardize workflows and share best practices with clients. Assist in producing timely dashboard and performance metrics to all customers – internal and external

Benefits

• Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees