
Reimbursement Manager
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.
- Oversee the reimbursement process for all healthcare facilities within the organization.
- Ensure accuracy and compliance with all regulatory guidelines related to reimbursement.
- Analyze and interpret financial data to identify potential issues and develop solutions.
- Develop and implement policies and procedures to improve reimbursement efficiency and accuracy.
- Collaborate with other departments and stakeholders to identify and resolve reimbursement-related issues.
- Monitor reimbursement trends and stay updated on changes in regulations and guidelines.
- Train and educate staff on reimbursement processes and procedures.
- Review and approve reimbursement requests and claims.
- Conduct regular audits to ensure proper documentation and compliance.
- Prepare and present reports on reimbursement activities to senior management.
- Maintain strong relationships with payers and other external partners.
- Handle any escalated reimbursement issues and provide timely resolutions.
- Stay updated on industry trends and best practices related to reimbursement.
- Ensure all reimbursement processes are in accordance with company policies and procedures.
- Mentor and supervise reimbursement team members to ensure high-quality work and professional development.
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.
Financial Reporting
Contract Negotiation
Analytical Thinking
Claims Processing
Team Leadership
Revenue cycle management
Payment reconciliation
Healthcare Regulations
Billing Management
Compliance Expertise
Coding Proficiency
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
Critical thinking
Attention to detail
Teamwork
Adaptability
Problem-Solving
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.
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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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