Reimbursement Director

Medical Associates of NWA

$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Broad knowledge in accounting, marketing, business administration, and finance, or equivalent to a four-year college degree.
  • 5 years of relevant experience and/or training in reimbursement or healthcare finance.
  • 4 years of management experience in a related field.

Responsibilities

  • Conduct chart audits on physicians and provide feedback and recommendations.
  • Report audit findings to administration and conduct follow-up audits as necessary.
  • Deliver coding education and resources to staff and physicians.
  • Order coding reference materials for clinics and billing departments.
  • Stay up to date on changes in coding and billing, and communicate relevant updates to staff and administration.
  • Input new codes into billing systems and make necessary updates for accuracy.
  • Assist in the development and revision of charge ticket masters.

Benefits

  • Comprehensive medical, dental, and vision insurance.
  • Health Savings Account (HSA) or Flexible Spending Account (FSA) options available.
  • Employer-paid life, long-term and short-term disability insurance.
  • 401(K) matching and profit-sharing opportunities.
  • Up to 21.5 paid days off and 6 paid holidays in the first year.
  • Corporate discounts with various local and national retailers.
  • One-on-one training and development for new hires.
Full Job Description
Overview

The Reimbursement Director oversees payment services for the practice, including establishing and maintaining the practice's fee schedules and fees that relate to manage care activities. Conducts regular analyses of reimbursement rates and oversees coding activities. Also, Oversees regularly scheduled Provider Chart audits.

 

Responsibilities: 

  • Perform chart audits on MSI physicians, which includes meeting with the physicians to report findings and recommendations.
  • Report findings and recommendations to MSI Administration and perform follow up audits as needed.
  • Provide coding education and material to employees and physicians, as needed.
  • Order coding books and billing publications for MSI clinics and Central Billing.
  • Stay informed on coding and billing changes and report pertinent changes to employees/Administration.
  • Enter new codes into the billing system and update the codes for any changes or deletions.
  • Provide assistance and advice for updating or developing charge ticket masters
  • Assist Administration in monitoring the accounts receivables and identifying problems for the MSI groups.
  • Inform Chief Information Officer of any billing or reimbursement problems that are identified.
  • Perform supervisory duties for Reimbursement/Chart Audits/Compliance Department.
  • Perform any other related duties as required or assigned

 

Qualifications:

 

  • Broad knowledge of such fields as accounting, marketing, business administration, finance,etc. Equivalent to a four year college degree.
  • 5 years related experience and/or training.
  • 4 years related management experience.

 

Benefits We Offer:At MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits. Below are some of our various benefit offerings:

 

Comprehensive Benefits –

      -Medical Insurance

      -Vision Insurance

      -Dental Insurance

      -HSA or FSA options with medical insurance

      -Voluntary Aflac Accident and Critical Illness

      -Employer paid life, long-term & short-term disability benefits

      -401(K) match and profit sharing

      -Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment

      -Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, UARK Federal Credit Union, and many more!

      - One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics

 

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