Also referred to as:
Manager of Third Party Reimbursements, Provider and Claims Reimbursement Services Manager
Requirements and Responsibilities
Reimbursement Services Manager manages the reimbursement services team to ensure accurate and timely reimbursement and reconciliation of claims. Oversees daily operations, workflow, and staffing to meet productivity and quality standards. Being a Reimbursement Services Manager ensures adherence to processes and controls that verify policy details, validate charges and coding, and ensure claim accuracy and completeness. Monitors turnaround times, service quality, and error levels to meet departmental goals. Additionally, Reimbursement Services Manager ensures compliance with applicable laws, payer requirements, and company policies. Requires a bachelor's degree. Typically reports to a director. The Reimbursement Services Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Reimbursement Services Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.
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