Reimbursement Director

Medical Associates of NWA

$100K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent in accounting, marketing, business administration, finance, etc.
  • Minimum of 5 years of related experience and/or training.
  • At least 4 years of management experience in a related field.

Responsibilities

  • Conduct chart audits for MSI physicians and provide feedback.
  • Address findings and recommendations with MSI Administration and follow up as necessary.
  • Deliver coding education and resources to staff and physicians as needed.
  • Order relevant coding and billing literature for clinics and Central Billing.
  • Stay updated on coding and billing regulations, communicating crucial changes.
  • Input new and modified codes into the billing system promptly.
  • Assist in updating or creating charge ticket masters and other related documents.
  • Support Administration in monitoring accounts receivables and resolving issues.
  • Communicate identified billing or reimbursement issues to the Chief Information Officer.
  • Supervise the Reimbursement/Chart Audits/Compliance Department.

Benefits

  • Comprehensive medical, vision, and dental insurance
  • Health Savings Account (HSA) or Flexible Spending Account (FSA) options
  • Employer-paid life, long-term, and short-term disability insurance
  • 401(K) match and profit sharing opportunities
  • Generous paid time off policy, including up to 21.5 days in the first year
  • Corporate discounts with major retailers
  • Extensive one-on-one training and development at onboarding
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

 

Similar Jobs

More Jobs at Medical Associates of NWA

More Healthcare Jobs

Find similar Reimbursement Director jobs: