Reimbursement Manager

About this role

Responsibilities

• Lead and oversee the Accounts Receivable staff to ensure consistent follow-up and resolution of unpaid, incorrectly, or partially paid and denied medical and dental claims for services provided in Post Acute care setting.
• Ensure timely identification and resolution of payer denial trends; work closely with payer provider relations, claims processing management, and other departments as required by the payers to resolve denial and incorrect payment issues.
• Provide hands-on training and daily support to staff on systems and processes to address and resolve AR-related issues daily.
• Review and improve processes to increase staff and system efficiency to ensure achievement of Revenue Cycle Key Performance Indicators (Minimize upfront claim rejections and denials, bad debt write-offs, reduce DSO and increase daily cash collections).
• Educate staff on compliant actions for resolving Medicare, State Medicaid, and third-payer payer claim issues.