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DIRECTOR OF REIMBURSEMENT Job in Savannah, Georgia

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Job Title: DIRECTOR OF REIMBURSEMENT

Employer:Optim Orthopedics, LLC
Type:Full-Time
Specialties:Orthopaedics
Required Certifications:N/A
Preferred Certifications:N/A
Required Experience:5 to 7 years
Preferred Experience:5 to 7 years
Location:Savannah, GA
Date Posted:10/17/2019

Coker Group has been exclusively retained by Optim Orthopedics.

GENERAL SUMMARY OF DUTIES:  Reports directly to the Chief Financial Officer and responsible to develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables. Also responsible for managing the day-to-day activities of the Health Center as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivables and financial planning for patients.

This position will work with the practice business offices on revenue cycle performance to meet short term strategic goals and will provide analytical analysis and create written guidelines, policies, and procedures in accordance with implementation of all work processes as a result of thorough analysis.

SUPERVISION RECEIVED:  Reports directly to CFO

SUPERVISION EXERCISED:  Exercises general supervision over reimbursement department personnel

Example of Duties: (This list may not include all of the duties assigned)

·         Develops strategic plans and programs for the Revenue Cycle team and ensures that goals and objectives of the team are properly defined and clearly established.

·         Develops policies, guidelines, and implementing procedures and ensures consistent company-wide implementation.

·         Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.

·         Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivables is no more than the agreed upon limit and that bad debt is within budgeted target.

·         Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.

·         Compiles and prepares various status reports for management in order to analyze trends and make recommendations.

·         Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures.

·         Designs and develops the appropriate organization structure for the Revenue Cycle team.

·         Delineates, defines, and streamlines its various functional activities, thereby ensure its effectiveness in maximizing the utilization of both asset and people resources.

·         In collaboration with Human Resources Department, conducts in-depth assessment interviews to determine the technical and behavioral competencies of the candidate to ensure that the best from among the qualified candidates are being hired in the company.

·         Adheres to, and implements the philosophy of “hiring the best fit” and ensures that prospective employees’ personal values are aligned with the company’s corporate values.

·         Conducts regular and periodic meetings with the team, to ensure the following:

o    Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.

o    All communications and relevant information pertaining to the team are cascaded to the proper channels within the team in particular and the organization in general.

·         Conducts and implements “Performance Improvement Program”, through the following:

o    Performance coaching for the staff who failed to perform and deliver the prescribed and committed level of performance output and standards.

o    Performance counseling staff with behavioral/attitudinal problems. Implements the necessary guidelines on discipline management for erring employees, in accordance with company policies, rules and regulations, due process, and government regulations.

o    Performance mentoring for high potential staff, capable of assuming bigger responsibilities in the future.

·         Performs training and development functions, as follows:

o    Designs and develops training programs that are relevant and necessary for the continuous development of the technical competencies of the team.

o    Recommends and implements for appropriate training programs that will further enhance and hone the technical competencies of the staff.

o    Conducts training programs, and acts as subject matter expert on training programs pertaining to the Revenue Cycle team

·         Develops and formulates performance measures and standards for the team, as basis for the conduct of annual performance management review program.

·         Reviews and evaluates the performance of the team, on regular and periodic basis, and ensures that the overall performance of the team is on-track, and well within the pre-established goals and objectives.

·         Consolidates performance status reports of the team as basis for monitoring the weekly progress of the various activities within the team.

Experience: Minimum of 5 years’ experience in health care management such as but not limited to clinic management, patient management, accounts receivables and payables, and marketing and public relations.

PERFORMANCE REQUIREMENTS:

1.     Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.

2.     Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams.

3.     A change agent and capable of guiding the organization in initiating various change management initiatives with the view of leading and guiding the organization towards the future.

4.     Strong managerial acumen in setting corporate directions and aligning strategic goals around business plans.

5.     Superior judgment, negotiation and decision-making skills.

6.     Strong ethics and a high level of personal and professional integrity.

7.     Strong analytical skills and adept in interpreting strategic vision into an operational model.

8.     An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment: Position is in a well-lighted office environment. Occasional evening and weekend work.

Mental/Physical Requirements: Daily activity is 80 percent sitting and 20 percent walking or standing.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Applying

Richard Ballard | Senior Director | CokerGroup

 c: 865.293.9766

rballard@cokergroup.com

cokergroup.com/services/healthcare-executive-search/

linkedin.com/in/ballardr       

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