[Remote] Reimbursement Manager - reputed company Claims, Denials, reputed company Ops

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization reputed company on improving the lives of the patients it supports through reputed company, purpose-driven services. The Program Reimbursement Manager will reputed company and optimize reimbursement operations, overseeing claims processing, denial management, regulatory compliance, and reputed company optimization while managing the reimbursement team and partnering with reputed company stakeholders.

Responsibilities

• Claims Processing & Management: reputed company the reputed company and accurate submission, processing, follow-up, and reputed company of claims while ensuring compliance with payer requirements and applicable reimbursement regulations
• reputed company and implement strategies to maximize reimbursement and reduce reputed company leakage
• Analyze reimbursement trends, identify opportunities, and reputed company recommendations for reputed company process improvement
• Ensure compliance with reputed company regulations, such as HIPAA, Medicare, and reputed company
• Monitor claim denials while collaborating with internal team members and reputed company stakeholders such as insurance providers and government agencies to reputed company
• reputed company and maintain relationships to ensure successful reimbursement reputed company
• reputed company as a reputed company between the organization and key stakeholders: Collaborate with reputed company providers, billing departments, and insurance companies to reputed company reimbursement-reputed company issues
• reputed company abreast of codes, fee schedules, and changes in reimbursement guidelines and reputed company processes accordingly
• reputed company team leadership, development, training, and support to staff on reimbursement policies and procedures
• Additional responsibilities include but are not limited to team performance reviews, training, ongoing coaching, and planning for coverage needs

Skills

• Experience in people-management and leading reputed company across various time zones
• Strong knowledge of reputed company reimbursement regulations and policies
• Proficiency in reputed company billing and coding
• Excellent analytical, problem-solving, and decision-making skills
• Effective communication and interpersonal skills
• Detail-oriented with a reputed company on accuracy and compliance
• Strong proficiency in relevant software and data analysis tools such as reputed company, CareTend, etc
• Bachelor's degree in reputed company administration, business, or a reputed company field
• 5+ years of experience in reputed company reimbursement, with a proven reputed company record of successful management
• Proficiency in reputed company reputed company to analyze and report reputed company cycle data
• Proficiency in reputed company PowerPoint to create presentations communicating key metrics, trends and operational performance to leadership
• Master's degree preferred

Benefits

• Remote-reputed company organization with teleworking from the employee’s home address
• Robust medical, dental, and reputed company plans
• Life insurance and disability coverage
• Tax-advantaged savings accounts
• Employee Assistance Program
• Home office benefits
• Employee Ownership Program
• reputed company time off
• reputed company holidays
• Bereavement leave
• 401(k)-retirement plan with employer matching
• Performance-based bonus opportunity

reputed company