Manager, Reimbursement

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce.

We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

SUMMARY

Manages a team of 16+ employees to meet team and departmental goals.

Works directly with the VP, Reimbursement to ensure that all responsibilities are in accordance with the organizations policies, procedures, and applicable laws, including administration metrics related to productivity and quality are met.

Also oversees team workflow, operational guidance, and counseling on issues to ensure that the daily work of the team is completed accurately and on time.

Essential Duties and Responsibilities include the following.

Other duties and tasks may be assigned.


* Manages Supervisors and ensures they plan, organize and manage the day to day reimbursement operations of the team.

Maintains and improves department quality and productivity standards.


* Develops policies and procedures.

Implements best practices and drives initiatives to improve cash flow, efficiency, AR, and staff performance.


* Hires, and develops staff.

Plans, directs, and supervises staff to ensure timely, accurate and complete adjudication of claims while ensuring all quality and production goals are met.


* Oversees training on relevant systems, department standards, expectations, and procedures.

Conducts performance evaluation of staff.

Resolves employee relations issues and recommends disciplinary action when required.


* Stays current with changes in billing/reimbursement regulations.

Collaborates with peers on operational performance and changes needed.


* Gathers and reviews data, analyzes results, and prepares reports.


* Maintains strict confidentiality.


* Upholds management goals of corporation by leading staff in team concepts and promoting a team effort.


* Maintains effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees.


* Recruits, trains, develops, and supervises personnel.


* Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization.


* Effectively communicates expectations; accepts accountability and holds others accountable for performance.


* Regular and reliable attendance is required for the job.