Reimbursement Manager (20091122)

Job Duties Include: Responsible for managing all aspects of the reimbursement department including the timely, accurate submission and collection of all patient and customer accounts. Ensures that all payers are set up correctly within the software system. Complies with all Walgreens-Option Care reimbursement and corporate compliance policies. Is responsible for the timely completion of all reports and processes as required by Walgreens-Option Care. Has responsibility for meeting cash and DSO goals as established by corporate. Keeps the unbilled at or below Walgreens-Option Care parameters. Speak knowledgeably of the scope of services that are available through Walgreens-Option Care. Works with the reimbursement department in order to manage the entire reimbursement process, from insurance verification to final collection. Ensures that insurance coverage is verified, initial prior authorization is received and patient demographic and insurance information is entered into the system. Responsible for the timely accurate submission of all claims for service to the responsible payer. Maintains the unbilled at appropriate levels for type and mix of business. Maintains bad debt at or below 2%. Achieves DSO target as established by Walgreens-Option Care. Participate in all Management Meetings and the office's Performance Improvement Program.

Minimum Requirements:

• BA Degree.
• 2 years experience in a management role.
• 3 years healthcare billing experience.
• Knowledgeable in basic accounting principles.
• Working knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
• Intermediate competency with Microsoft Office software.
• Excellent attention to detail.
• Ability to negotiate pricing for non-contracted services.
• Ability to handle stress and meet deadlines.
• Ability to travel to the office and attend required meetings.

Preferred Qualifications:

BS in Accounting or Business related field. Management training or degree.