What are the responsibilities and job description for the Reimbursement Manager position at Lingraphica?
Company Description
If you are a dedicated professional who loves what you do, likes having fun at work, and proactively solves challenges, we’d like to hear from you!
Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with aphasia. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their aphasia journey.
Job Description
Purpose:
The Reimbursement Manager is responsible for the management of collections and billing processes and management of team members. This role is responsible for the development and/or improvement of workflows related to the claim lifecycle.
Essential Duties & Responsibilities:
- Manages claim billing and collections and team of Reimbursement and Billing Specialists
- Creates and assigns quarterly and annual targets for reimbursement department
- Creates reimbursement reports in HubSpot to measure reimbursement trending issues and tracks KPI’s
- Responsible for performing collections and billing responsibilities as needed
- Conducts weekly Reimbursement team meetings
- Performs weekly 1-1 meetings with direct reports
- Creates pivot tables, charts and analytic reports to review state of the claims pipeline
- Provides on-going performance feedback, addresses problems, determines staffing needs, interviews and hires staff, orients and trains employees, verifies competency and identifies and suggests ways to develop skills
- Performs quarterly and annual reviews for the Reimbursement team
- Implements improvement process for trending issues in claim rejects/denials
- Improves workflows related to claim lifecycle, billing, and payment posting
- Communicates policy and procedure changes to staff
- Provides excellent internal and external customer service
- Performs other duties as assigned
Qualifications
Education & Experience:
- Bachelor’s Degree or equivalent combination of education and experience
- 2 - 3 years experience in collections and billing required
- 1 – 2 years supervisory experience, preferred
- Experience working with CRMs such as HubSpot to analyze, pull reports and identify trends, issues, and opportunities
Knowledge, Skills & Abilities:
- Effective people and process manager
- Attention to detail, organization, problem solving skills, persistence
- Knowledge of Medicare & Medicaid regulations
- Strong analytical, troubleshooting and communication skills
- Advanced experience with Excel, with the ability to create and analyze pivot tables
Additional Information
Work Environment & Physical Demands:
Incumbent works from home and is expected to maintain a safe, productive work environment with secure internet access. The ability to operate a computer with or without a reasonable accommodation is required.
Travel:
May work remotely from home. Traveling to Princeton, NJ office required, up to 1x / quarter
Accommodations:
To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/ or ability abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To learn more about Lingraphica, visit: www.lingraphica.com!
