Assoc. Director Reimbursement Ops- Pediatrics- hybrid position

University of Maryland Faculty Physicians, Inc.

$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • MBA or MHA preferred, or BA plus 5 years of managed care experience
  • Minimum 3 years management experience, with 2 years in an administrative role
  • Familiarity with front and back office operations
  • Understanding of FPI contracts
  • Knowledge of inpatient and outpatient procedures
  • Experience with GE/IDX, EPIC or similar billing systems
  • Proficiency in ICD-10 and CPT coding
  • Strong customer service skills and PC proficiency

Responsibilities

  • Direct and coordinate activities within the billing division
  • Supervise Reimbursement Operations staff and activities
  • Manage patient services and registration quality
  • Ensure accurate insurance verifications and payment postings
  • Oversee claims processing and edits
  • Implement improvement strategies as needed
  • Perform additional duties as assigned

Benefits

  • Comprehensive health benefits
  • Career development opportunities
  • Retirement support options
  • Support for work-life balance
  • Employee wellness programs
Full Job Description
DDirects and coordinates all activities pertaining to the billing division through general or direct supervision of Reimbursement Operations. Responsible for patient services, registration quality, insurance verification, payment posting, documentation imaging, claims processing and edits; and other duties as assigned.

EDUCATION and/or EXPERIENCE
  • MBA or MHA preferred or BA in related field combined with minimum five years of managed Care experience
  • Minimum three years management experience and at least two years administrative experience
  • Knowledge of back and front office operations
  • Knowledge and understanding of FPI contracts
  • Knowledge of inpatient, critical care, emergency and/or outpatient procedures
  • Current knowledge of GE/IDX, EPIC or similar computerized billing system
  • Knowledge of ICD-10 and CPT coding
  • Strong customer service skills
  • PC proficiency

Total Rewards
The referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician's Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://www.umfpi.org/jobs/summary-employee-benefits.

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