Manager, Reimbursement Svcs

BAYADA Home Health Care; Merchantville (NJ); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading home health care provider is seeking a dedicated Reimbursement Services Manager to oversee billing and collection processes. The role requires strong leadership and knowledge of healthcare reimbursements, along with the ability to foster teamwork and accountability. The position is remote, offering flexibility and the opportunity to contribute to a compassionate organization that values excellence and reliability.

Benefits

Paid holidays

Vacation and sick leave

Vision, dental and medical health plans

Employer paid life insurance

401k with company match

Employee assistance program

Qualifications

• Two to three years of management and supervisory experience.
• Must have Home Health experience.
• Possess a thorough knowledge of healthcare reimbursements.

Responsibilities

• Manage timely production and submittal of invoices/claims.
• Establish relationships with third party payers.
• Oversee and identify trends and new developments with assigned payers.

Skills

Compassion

Excellence

Reliability

Interpersonal Skills

Self-motivation

Mathematics

Education

Four (4) year college degree

Tools

Microsoft Word

Microsoft Excel

Job description

Provides management and support to personnel in Reimbursement Services by having direct responsibility for the assigned portion of the accounts receivable, including the timely and accurate production of bills along with the collection of outstanding invoices and claims. Responsible for the direct supervision of staff within the assigned unit. Additional responsibilities will include maintenance of the accounts receivable and accuracy of all transactions.

REMOTE Opportunity!!

MINIMUM QUALIFICATIONS:

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
• Four (4) year college degree.
• Two (2) to three (3) years of management and supervisory experience.
• Must have Home Health experience
• Must know HCHB and have PDGM/Eposdic (Patient-Driving Grouping Model) experience
• Possess a thorough knowledge of healthcare reimbursements, preferably in the home health industry.
• Ability to self-motivate and work independently.
• Computer proficiency including in-house accounts receivable systems as well as Microsoft Word and Excel.
• Proficient in Mathematics.
• Demonstrated record of strong interpersonal skills.
• Competence in basic PC skills required to perform job functions.
• Ability to read, write and effectively communicate in English.

PRIMARY RESPONSIBILITIES:

• Demonstrates and communicates the core values of BAYADA and The BAYADA Way.
• Manages and assures timely production and submittal of invoices/claims through effective supervision of reimbursement services staff.
• Participates in completing performance evaluations and engaging in ongoing career planning and developmental conversations with the director according to BAYADA policy.
• Fosters a teamwork concept. Instills accountability in team members. Promotes trust.
• Responsible for the development of a well-qualified subordinate staff to support the billing and collection activities.
• Report on quality assurance and internal audit of the assigned portion of the Accounts Receivable.
• Establishes relationships with third party payers to assist in the collection of accounts and develop routine billing procedures.
• Assist and advise service office directors regarding payer issues and billing/collection problems.
• Maintain a continuing program for the review and revision of the organizations receivable systems to ensure they are effective and reliable and meet current third party requirements.
• Represent the organization to various other organizations, payer sources, the public and other employees professionally and appropriately.
• Oversee and identify trends and new developments with assigned payers and the industry.
• Review new payer contracts and update the system and internal procedures to accommodate contractual terms.
• Establishes quality and quantity goals for the department. Monitors progress against standards.
• Recommends, develops, promotes, and implements improvements to current methodologies.
• Advises the director on trends, problems, and issues related to the assigned portion of the Accounts Receivable.
• Maintains acceptable standards of attendance, punctuality, dependability, productivity.
• Demonstrates solid performance or exceeds performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
• Performs related duties, or as required or requested by supervisor.

OTHER RESPONSIBILITIES:

• Analyzes remittances, collection logs, write-offs/write-ons and transfers for proper posting and assures the integrity of all transactions.
• Assists with new software installation and recommends modifications as appropriate.
• Enforces credit policy.
• Maintains the integrity and confidentiality of all client and employee files as appropriate.
• Review new bill to entries and correct as necessary. Add rate tables as needed.
• Presents a professional appearance.
• Maintains acceptable standards of attendance, punctuality, dependability, productivity.
• Protects the integrity and confidentiality of client and company files.

WHY CHOOSE BAYADA?

• BAYADA offers the stability and structure of a national company with the values and culture of a family-owned business.
• https://www.newsweek.com/rankings/americas-greatest-workplaces-diversity-2024/bayada
• Newsweek'sBest Place to Work for Diversity 2023
• Newsweek Best Place to Work for Women 2023
• Newsweek Best Place to Work (overall) 2024
• Newsweek Best Place to Work for Women and Families 2023

BAYADA believes that our employees are our greatest asset:

• BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
• To learn more about BAYADA Benefits, click here

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.