Reimbursement Manager

🕒 3 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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PromptCare

501 - 1000 funcionários

Fundada em 1983

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare Insurance • Pharmaceuticals

A PromptCare é uma fornecedora líder de terapias respiratórias, de infusão e farmacêuticas especializadas em casa, focadas no tratamento de condições de saúde complexas e crônicas. Eles oferecem cuidados domiciliares personalizados em todo o país, planos personalizados e suporte abrangente para melhorar a qualidade de vida dos pacientes. Com uma equipe de terapeutas respiratórios especializados, enfermeiros, nutricionistas e farmacêuticos, a PromptCare proporciona transições de cuidados sem interrupções e trabalha em estreita colaboração com hospitais e especialistas para oferecer planos de tratamento customizados, gerenciar os processos de seguro e educar os pacientes e suas famílias.

Descrição

• 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

🎯 Requisitos

• 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

🏖️ Benefícios

• 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

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