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Arden

    Director of Reimbursement - Arden, United States - Fusion HCR

    Fusion HCR
    Fusion HCR Arden, United States

    2 weeks ago

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    Description
    JOB SUMMARY: Responsible for maximizing reimbursement, including Payor Contracts. Overall responsibility for current processes and future adaptability to changes in healthcare reimbursement. Management of all business office functions. Ensures compliance with all organizational and regulatory standards related to governmental and third-party payor requirements. Oversee the reimbursement of multi-site skilled nursing facilities.

    Minimum Job Qualifications:

    Experience:
    • 10+ years medical billing management experience within a multi-site facility
    • Early experience as a Business Office Manager with growth into managing multi-site
    • Knowledgeable of Medicare, Medicaid and Medicare Advantage
    • Knowledge of records management, coding, managed care, and A/R policies and processes.
    • Knowledge of billing and collections of various insurance payors.
    • Maintenance of billing system
    • Knowledge of Matrixcare software preferred
    Education: Bachelors Degree or equivalent experience.

    ESSENTIAL FUNCTIONS and QUALITIES:
    • Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.
    • Onboarding and training of new employees and ongoing education of current staff.
    • Maintenance of systems and applications that support the overall organization
    • Ability to easily shift focus and priorities as needed.
    • Teacher/Mentor
    • Ability to lead vs manage
    • Innovative and open to change
    • Other duties and responsibilities as assigned
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