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Arnot HealthPosted 1 week ago

Centralus Senior Director of Reimbursement Optimization

$140,000–$175,000 year

HybridElmira, New York, United States

Full TimeSenior LevelBachelors DegreeLarge

Job Summary

Analyze KPIs for the reimbursement function across the healthcare system, including Revenue Cycle Meetings and Denial Committees. Review oversight of Patient Access and Authorization units to ensure top-tier performance. Collaborate with executive leadership to align reimbursement strategies with organizational goals. Evaluate payer contracts and methodologies to identify and maximize revenue opportunities. Develop and monitor key performance indicators related to revenue cycle management. Prepare reports and presentations for executive leadership on reimbursement performance and financial impact. Ensure adherence to payer policies, coding guidelines, and regulatory requirements while conducting audits to identify areas for improvement. Work closely with clinical, provider, and administrative teams to address reimbursement issues and facilitate training on process changes. Evaluate technology solutions to streamline reimbursement processes and improve efficiency. This role reports to the Chief Financial Officer and requires a hybrid schedule with quarterly on-site visits.

Required Qualifications

  • Bachelor's degree in Finance, Healthcare Administration, Business Administration, or a related field
  • Minimum of 7-10 years of experience in healthcare reimbursement
  • At least 3-5 years in a leadership role within a healthcare or related setting
  • In-depth understanding of reimbursement methodologies
  • Knowledge of payer policies
  • Knowledge of regulatory requirements
  • Familiarity with electronic health record (EHR) systems
  • Familiarity with revenue cycle management software
  • Strong analytical skills
  • Problem-solving skills
  • Excellent communication skills
  • Interpersonal abilities
  • Proven leadership capabilities
  • Ability to work in a hybrid role of remote work with required quarterly on site visits
  • Ability to travel to various facilities or locations occasionally

Desired Qualifications

  • Master's degree
  • Relevant certifications (e.g., Certified Revenue Cycle Professional (CRCP), Certified Professional Coder (CPC))

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