Reimbursement Manager

Job Summary:


The Reimbursement Manager provides analytical support, project support and manages the reimbursement supervisor staff. Handles and settles complicated customer service issues which cannot be resolved by staff level employees. The Reimbursement Manager manages the day-to-day activities of an organization's operations. Implements company policies, procedures, and initiatives. The Reimbursement Manager evaluates and enhances current operational systems. Monitors performance against operational goals and develops reporting and auditing processes used to analyze operational effectiveness. Additionally, The Reimbursement Manager coordinates operations with other functions. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements.

Primary Duties and Responsibilities

1.Supports the Director of Revenue Cycle Management in the recruitment, training, and development of department personnel, including promotion decisions and disciplinary recommendations.

2.Directs reimbursement and call center functions and carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

3.Creates and implements policies that allow the department to function as a cohesive unit.

4.Manages collected data and creates user-friendly reports that can help executives identify company progress, regression, and any fluctuations in output.

5.Guarantees compliance with local and federal regulations, accrediting body standards, and corporate policies and standards of performance.

6.Understands confidentiality with respect to Company proprietary information, as well as information concerning patient/client care.

7.Regular and reliable attendance expected.

8.Other work-related duties as assigned by supervisor/manager.

Minimum Knowledge, Abilities, and Skills Required

1.Bachelor's degree in relevant discipline or equivalent experience.

2.Must have a minimum of five years of relevant experience in a health care billing or reimbursement related organization and a minimum of five years' experience supervising staff.

3.Must be highly motivated, people friendly, organized and detail oriented.

4.Must not have history evidencing any dishonesty, lack of trustworthiness, or workplace violence.

5.Must have excellent computer skills; proficient in Microsoft Office Suite (primarily, Word, PowerPoint, and Excel).

6.Able to effectively utilize the pharmacy software platform.

7.Must have history evidencing reliability and consistency in timeliness, attendance, and quality of work.

8.Must present yourself professionally on the phone and in person including customer presentations.

9.Excellent verbal and written communication and presentation skills.

This description is intended to be only a general outline of major activities. It is expected that the employee performs these and any other activities which may be assigned, or which may occur in the normal course of work. This description is not a contract or guarantee of employment. AnovoRx is an Equal Opportunity Employer.