Reimbursement Manager

At Presbyterian Healthcare Services, we are dedicated to providing quality, compassionate care to our patients and their families. As a Reimbursement Manager, you will play a vital role in ensuring that our organization receives proper reimbursement for the services we provide. We are seeking a highly organized and detail-oriented individual who is passionate about maximizing revenue and navigating complex reimbursement processes. If you are a motivated team player with a strong understanding of healthcare reimbursement policies and procedures, we encourage you to apply for this exciting opportunity.

1. Develop and implement strategies to maximize reimbursement for services provided by the organization.
2. Manage and oversee the reimbursement process for all healthcare services, including billing, collections, and appeals.
3. Stay up-to-date on healthcare reimbursement policies and regulations and ensure compliance with all guidelines.
4. Collaborate with internal teams to ensure accurate and timely submission of claims and proper documentation.
5. Review contracts and negotiate reimbursement rates with insurance companies and third-party payers.
6. Train and supervise reimbursement staff to ensure accurate and efficient processes.
7. Monitor and analyze reimbursement trends to identify areas for improvement and make recommendations for process enhancements.
8. Serve as a liaison between the organization and insurance companies, advocating for fair reimbursement and resolving any issues or disputes.
9. Maintain accurate records and documentation related to reimbursement activities.
10. Communicate with patients and their families to address any questions or concerns related to reimbursement.
11. Collaborate with finance and accounting teams to ensure accurate reporting of reimbursement data.
12. Continuously evaluate and improve reimbursement processes to increase efficiency and reduce denials.
13. Participate in audits and assist with the development of corrective action plans as needed.
14. Represent the organization in meetings and negotiations with insurance companies and other stakeholders.
15. Adhere to all organizational policies and procedures, including those related to confidentiality and data security.

According to JobzMall, the average salary range for a Reimbursement Manager in Albuquerque, NM, USA is between $63,000 and $95,000 per year. This may vary depending on the specific company, level of experience, and industry. Some factors that may impact the salary range include the size and type of organization, the complexity of the reimbursement processes, and the candidate's education and certifications. Additionally, location and cost of living in Albuquerque may also affect the salary range.

Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.