Supervisor - Remote Pharmacy Revenue Cycle Outpatient and Home Infusion

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. 

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.  Come make a difference at Ochsner Health and discover your future today! 

This job is responsible for the daily supervision and operational direction of the Outpatient and Home Infusion Billing and Collections teams. The Supervisor oversees all revenue cycle functions, including accurate and timely billing, claims submission, collections, and accounts receivable management for Medicare, Medicaid, commercial, and other third-party payers.  In addition, this role provides enterprise-level system oversight and workflow configuration for pharmacy revenue processes, ensuring standardized workflows, system integrity, and alignment with organizational governance standards.  The position ensures compliance with payer regulation and organizational policies while supporting optimal reimbursement, operational efficiency, and patient satisfaction. 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Education

Required – High School Diploma or GED.

Preferred – Associate’s or Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field.

Work Experience

Required – 4+ years of medical billing, accounts receivable, or revenue cycle experience, including 1+ years of leadership, supervisory, or team lead experience.

Preferred – 5+ years of healthcare billing and collections experience, including home infusion or specialty pharmacy

Certifications

Preferred: Certified Pharmacy Technician (CPhT), Certified Revenue Cycle Representative (CRCR), or Certified Coding Specialist (CCS)

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.
• Strong understanding of healthcare billing, collections, and reimbursement methodologies across government and commercial payers.
• Working knowledge of Epic or other revenue cycle systems, payer portals, and billing platforms.
• Demonstrated knowledge of enterprise or system-level revenue cycle applications, including workflow configuration and optimization. 
• Understanding of system governance, change management, and standardized workflow controls in a healthcare revenue environment.
• Effective verbal and written communication and leadership skills.
• Ability to manage multiple priorities and deadlines in a fast-paced environment. 
• Strong analytical, problem-solving, and organizational abilities. 
• Demonstrated ability to coach, develop, and mentor staff in high-volume environments.
• Understanding of CMS and accreditation standards relevant to home infusion billing.

Job Duties

• Supervises daily billing and collections activities for outpatient and home infusion pharmacy services, ensuring timely, accurate, and compliant claim submission. 
• Provides leadership, scheduling, coaching, and performance management for direct reports; conducts regular feedback sessions, evaluations, and staff development activities. 
• Ensures claims are submitted accurately and in accordance with payer contracts, regulatory requirements, and organizational revenue integrity standards.
• Reviews and resolves complex billing, payment, and denial issues, including appeals, underpayments, and payer escalations.
• Monitors work queues, unbilled report, aging reports, and key revenue cycle metrics to maintain low accounts receivable days and minimize backlogs.
• Collaborates with pharmacy operations, intake, billing and collections teams to ensure documentation completeness and claim readiness.
• Provides enterprise-level oversight of pharmacy revenue cycle systems, including Caretend, supporting standardized billing workflows and consistent system usage across outpatient and home infusion services.
• Configures, maintains, and optimizes revenue cycle workflows within enterprise systems (e.g., Caretend, EPIC), in partnership with Revenue System and IT, to support accurate billing, regulatory compliance, and operational efficiency.
• Trains, develops, and mentors staff to enhance understanding of payer policies, workflows, and regulatory requirements.
• Maintains updated knowledge of Medicare, Medicaid, and commercial payer billing rules, including infusion-specific modifiers, kit codes, and ABN processes.
• Leads or participates in departmental and enterprise-level projects and process improvement initiatives to support revenue capture, system standardization, and operational efficiency.
• Generates and analyzes KPIs to evaluate staff productivity and identify trends.
• Communicates effectively with internal departments and external partners to resolve issues and ensure compliance.
• Maintains compliance with HIPAA, CMS, and organizational policies and standards.
• Promotes a positive attitude, solutions-oriented work environment and encourages team learning and development. 
• Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

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Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.