Prochant

Project Manager

• Prochant, a leading outsourced billing service in the U.S. healthcare industry, is seeking a qualified Project Manager to join our team. In this role, you will lead the onboarding of new clients to our revenue cycle management (RCM) services and implement new processes for existing clients.
• Our Project Managers drive onboarding and implementation projects to successful completion—on time, within scope, and on or under budget—while maintaining clear, consistent communication to support the adoption of best practices. You will collaborate with a wide range of stakeholders, including client teams (from billers to CEOs), IT, domestic and offshore operations, regulatory compliance, and account management.
• A key aspect of this role is guiding and coordinating our offshore agents in alignment with Prochant’s best practices, while balancing the unique needs of our U.S.-based clients. You will ensure that billing, operations, cash flow, and quality patient care remain uninterrupted throughout each transition by aligning all critical path elements for scheduled go-lives.
• Though remote, this position is highly visible both internally and externally. It requires exceptional organizational and communication skills, along with the ability to prioritize effectively and direct complex projects. Industry experience in HME, Home Health, and/or Infusion is required.

General

• Billing Review
• Claim Generation
• A/R & Denial Management
• Unaddressed Claim Management
• Stop/Held Revenue review
• Correspondence review and Indexing
• Reporting and reconciliation of all executable work tasks
• Escalations/tasking of work exceptions to appropriate parties
• Management of follow-ups
• Peer support/Peer coaching
• Quality Assurance
• Eligibility
• Prior Authorization
• Intake
• Cash posting
• Manage inbound queue of orders to be reviewed/claims to be generated
• Quality review prior to claim generation
• Claim generation within specified turnaround time
• Maintenance of downloads and production logs
• Exception Tasking
• Follow Ups
• Denied claim review and analysis
• Denied claim resolution action including, but not limited to:
• Telephone claim status requests
• Telephone re-opening requests
• Medical documentation/Supporting documentation reviews
• Redeterminations and appeals
• Review of inbound scanned documentation
• Analysis of documents and assignment to appropriate document classes (for follow up)
• Eligibility or benefit verification
• Prior authorization submission

DME Reimbursement Specialist

Customer Success Manager

• Build and maintain strong client relationships
• Engage with executive sponsors and key stakeholders
• Lead strategic planning and execution of billing operations
• Develop and uphold standardized policies and procedures
• Optimize billing workflows across diverse client base and markets
• Maintain consistent billing performance and cash flow
• Identify opportunities to enhance collections
• Proactively recognize risks impacting reimbursement outcomes
• Guide teams and drive operational excellence
• Cultivate partnerships with clients
• Identify growth opportunities within existing accounts
• Collaborate with internal cross-functional teams

Project Manager

DME Reimbursement Specialist

Reimbursement Success Manager