Reimbursement Manager

🔥 7 hours ago

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PromptCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

PromptCare is a leading provider of in-home respiratory, infusion, and specialty pharmaceutical therapies, focused on treating complex and chronic health conditions. They offer tailored, nationwide in-home care, personalized plans, and comprehensive support to improve patients' quality of life. With a team of expert respiratory therapists, nurses, dietitians, and pharmacists, PromptCare provides seamless care transitions and works closely with hospitals and specialists to deliver customized treatment plans, manage insurance processes, and educate patients and their families.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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