Position: Revenue Cycle and Reimbursement Director
Location: Jefferson, NC 28640
Duration: Fulltime
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.
Education:
Bachelor’s degree or equivalent experience.
Experience:
10 years of medical billing management experience/in hospital and clinic environments.
4 years of Revenue Cycle management experience.
Knowledge of state and federal healthcare regulations and programs.
Knowledge of records management, coding, managed care, and A/R policies and processes.
Knowledge of billing and collections of various insurance payors.
Experienced in ABOD will be considered.
ESSENTIAL FUNCTIONS:
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 hospital claim processing in order to maintain accounts receivable inventories at acceptable levels.
Other duties and responsibilities as assigned.
Maintains confidentiality.
Supports the hospital and promotes a positive attitude.
Adheres to dress code, and appearance, is neat and clean.
Wears identification while on duty.
Adheres to the HIPAA and privacy policies and procedures. Reports any violation or appearance of violation of the policies and procedures and/or laws and regulations addressed in the Compliance Plan and the hospital Code of Conduct to the Compliance Officer or to a; member of Senior Leadership.
Must be willing to receive all required vaccinations (i.e., flu shot, etc.). All new employees working must be fully vaccinated as a condition of employment (unless the new hire has requested and received an exemption). Candidates for employment will be notified of this policy requirement prior to the start of employment. After receiving an offer of employment, new employees must provide proof of vaccination or request and receive an exemption before beginning work.
Job Type: Full-time
Pay: $80,344.66 - $92,673.14 per year
Benefits:
Healthcare setting:
Medical specialties:
Schedule:
Experience:
Ability to Relocate:
Work Location: In person
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