Regional Reimbursement Manager in Arlington, TX at NurseCore

Date Posted: 1/7/2021

Job Snapshot

Job Description

Overview

Regional Reimbursement Manager

NurseCore has an exciting opportunity for you! We are seeking a Regional Reimbursement Manager to lead a team of Billing and Collections Specialists in Arlington, TX. We are a national leader in home care and medical staffing services, with over 45 years of industry experience. This role offers competitive compensation, benefits, and the chance to build a rewarding and fulfilling career. If you’re motivated, enthusiastic, and have management experience in payroll, billing, and collections, we want you on our team! Join us at the heart of healthcare-apply today!

Responsibilities

The Regional Reimbursement Manager manages a team of Payroll / Biller / Collectors (PBC) located in nationwide Branch locations and Central Payroll and Reimbursement staff by leading, instructing and monitoring the work-flow, proactively identifying and resolving issues and understanding and executing all functions required of a Payroll, Billing and Collections Specialist. The Reimbursement Manager assures all critical functions are covered daily to ensure that client charges are processed timely and accurately in order to receive prompt and full payment.

  • Train newly hired Payroll, Biller and Collectors on their job description and job functions. Follow up routinely to determine their level of competence with the position
  • Train Payroll, Biller and Collector group on new contracts, paperwork and advancements in the PBC process
  • Audit system notes and collection efforts to ensure the PBC following defined processes and performance goals
  • Work with Branch Directors/Managers to trouble shoot accounts that have excessive aging that have been escalated for review.
  • Establish and hold regular meetings/discussions with Branch Director/Branch Manager to discuss Accounts Receivable status
  • Serve as the second level in payroll and billing complaints
  • Conduct monthly review of accounts with Regional Vice President
  • Payroll, billing and collections as necessary or required
  • Work with Payroll, Biller and Collectors to review accounts receivable reports for short pays, unapplied payments and skipped invoices. Research information and contact clients in timely manner to resolve issues as necessary
  • Audit A/R to monitor work of supervisory employees, and alert RVP’s of anticipated problems
  • Hold regular meetings with internal and field office staff to ensure effective collection efforts
  • Prompt, persistent, and thorough follow up of high balance or problematic accounts to obtain payment and final disposition of claims
  • Provide AWESome customer service to clients and staff
  • Other duties assigned to meet goals and needs of the Company
Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Competence

  • Remote staff management
  • Multi-site management
  • Good grammar, voice and diction
  • Basic computer and keyboarding skills
  • Excellent customer service skills (friendly, courteous and helpful)
  • Be able to read, write, and understand English.
  • Excellent attention to detail
  • Work well in a team environment
  • Able to maintain confidential information
  • Good time management skills
  • Excellent organizational skills

Education and /or Experience

  • Bachelors degree in finance, accounting, business or a related field. 
  • Three to five years related experience and/or training in medical billing, payroll, and/or collections or equivalent combination of education and experience.
  • Experience should emphasize problem-solving skills. 
  • Knowledge of ICD-9, HCPCS, CPT coding, and HIPAA compliance.
  • In addition, must have experience working with EVV requirements. 
  • Experience in account collections.
  • Experience with State Medicaid, Medicare, and commercial insurance carriers

Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written or oral form. Ability to deal with problems and solve them.

Computer Skills
Computer skills (excel, word, accounting and /or payroll software) accounts receivable, collections, Medicaid billing, EVV, payroll admin, accounts payable.

NurseCore is committed to protecting the health and well-being of our employees, patients, and clients.  We have protocols in place to limit the spread of COVID-19 and other communicable diseases.  NurseCore offers a virtual application and orientation process, and we provide all staff with PPE and other protective equipment to maintain a safe work environment.    

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