HCA Healthcare

Reimbursement Manager

HCA Healthcare

Nashville, TN, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a driven and detail-oriented individual with a passion for healthcare and financial management? Look no further! HCA Healthcare is seeking a highly skilled Reimbursement Manager to join our dynamic team. In this role, you will be responsible for overseeing the reimbursement process for our healthcare facilities, ensuring accuracy and compliance with regulatory guidelines. If you have the necessary qualifications and a strong work ethic, we invite you to apply and become a valuable member of our organization.

  1. Oversee the reimbursement process for all healthcare facilities within the organization.
  2. Ensure accuracy and compliance with all regulatory guidelines related to reimbursement.
  3. Analyze and interpret financial data to identify potential issues and develop solutions.
  4. Develop and implement policies and procedures to improve reimbursement efficiency and accuracy.
  5. Collaborate with other departments and stakeholders to identify and resolve reimbursement-related issues.
  6. Monitor reimbursement trends and stay updated on changes in regulations and guidelines.
  7. Train and educate staff on reimbursement processes and procedures.
  8. Review and approve reimbursement requests and claims.
  9. Conduct regular audits to ensure proper documentation and compliance.
  10. Prepare and present reports on reimbursement activities to senior management.
  11. Maintain strong relationships with payers and other external partners.
  12. Handle any escalated reimbursement issues and provide timely resolutions.
  13. Stay updated on industry trends and best practices related to reimbursement.
  14. Ensure all reimbursement processes are in accordance with company policies and procedures.
  15. Mentor and supervise reimbursement team members to ensure high-quality work and professional development.
Where is this job?
This job is located at Nashville, TN, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Finance, Or Related Field

  • Minimum Of 3-5 Years Of Experience In Healthcare Reimbursement, Preferably In A Hospital Or Healthcare System Setting

  • Strong Knowledge Of Medicare, Medicaid, And Commercial Insurance Reimbursement Policies And Procedures

  • Experience With Revenue Cycle Management And Reimbursement Systems, Such As Epic Or Meditech

  • Excellent Analytical And Problem-Solving Skills, With The Ability To Interpret Complex Data And Identify Trends And Patterns.

Required Skills
  • Financial Reporting

  • Contract Negotiation

  • Analytical Thinking

  • Claims Processing

  • Team Leadership

  • Revenue cycle management

  • Payment reconciliation

  • Healthcare Regulations

  • Billing Management

  • Compliance Expertise

  • Coding Proficiency

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Critical thinking

  • Attention to detail

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Reimbursement Manager in Nashville, TN, USA is between $80,000 and $100,000 per year. This can vary depending on the specific job duties, experience level, and the company they work for. Salaries may also differ based on the cost of living in a particular area.

Additional Information
HCA Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedDecember 29th, 2023
Apply BeforeMay 22nd, 2025
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About HCA Healthcare

HCA Holdings, Inc. is a health care services company, which engages in operating hospitals, freestanding surgery centers and emergency rooms, and urgent care centers. It offers a full range of services to accommodate such medical specialties as internal medicine, general surgery, cardiology, oncology, neurosurgery, orthopedics and obstetrics, as well as diagnostic and emergency services.

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