Reimbursement Manager

Job Description

Job Description

Description:

We are currently seeking an experienced Manager of Reimbursement to join our team. The ideal candidate will be knowledgeable in reimbursement methodologies and will have a proven track record of leading teams to success. The Manager will have excellent communication and problem-solving skills, as well as the ability to build relationships with internal and external stakeholders. You will be responsible for developing, leading, and executing strategies to optimize and improve reimbursement related processes. If you are a seasoned professional with a passion for delivering results, we look forward to receiving your application. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion

Reports to: Vice President, Revenue Cycle Management

Job Type: Exempt, Full/Time

Location: Fully remote (Must be able to travel throughout the United States)

• Must have at least five to eight years’ experience managing an Accounts Receivable department, or healthcare reimbursement operation
• Multi-site managerial experience in a healthcare services company is strongly preferred
• Experience with governmental and commercial payers and revenue cycles is strongly required
• Managerial experience at a complex respiratory company is a major advantage
• Must have a driver’s license and automobile insurance in good standing
• Must have strong PC skills, especially the MS Office suite. Must also have a willingness to become an expert user of our enterprise system Brightree, which are used to track patient care, order fulfillment and reimbursement
• A strong work ethic and desire to serve our referral sources and patients is essential

Job Responsibilities, included but not limited to:

• Lead the development, implementation, and maintenance of reimbursement strategies and programs
• Monitor changes in reimbursement regulations, trends, and technologies
• Develop and monitor reimbursement budgets and goals
• Analyze reimbursement data to identify areas of improvement
• Facilitate the resolution of reimbursement issues between payers and providers
• Develop and maintain relationships with insurance companies, managed care organizations, and other payers
• Collaborate with other departments to ensure accurate and timely reimbursement
• Develop policies and procedures to ensure compliance with all applicable reimbursement regulations and contractual requirements
• Other duties as assigned

Physical Demands

The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.

Benefits & Perks

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.