Reimbursement Manager (20130385)
Location: Wood Dale, Illinois
Description: Walgreens is employing Reimbursement Manager (20130385) right now, this job will be reside in Illinois. For detail informations about this job opportunity kindly see the descriptions. Walgreens is a leading national home infusion and respiratory therapy provider. With more than 30 years of experience and more than 100 locations serving 41 states, we have the ability to provide servic! es nationwide. We offer traditional home infusion, specialty infusion and respiratory services for patients with acute and chronic conditions. Each year our experience nurses, pharmacists and respiratory therapists provide compassionate, comprehensive care to approximately 120,000 patients in non-hospital settings.Job Duties Include: Manage all aspects of the intake/reimbursement department including the timely, accurate submission and collection of all patient and customer accounts. Meet cash, AR and DSO goals as established by corporate. Keep the unbilled at or below Walgreens parameters.Works with the intake and/or reimbursement department in order to manage the entire process from insurance verification to final collection. Schedules all billing functions appropriately. 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. Ensures that insurance covera! ge is verified, initial prior authorization is received and pa! tient demographic and insurance information is entered into the system. Accepts referrals based on Walgreens scope of service and current contracts. Ensures the appropriate notification of patients in regards to their financial responsibility. Ensures that all payers are set up correctly within the software system. Monitors and validates adherence to Policies and Procedures, auditing as necessary. Monitors and evaluates employee productivity and performance to goal. Completes all required projects and reports in a timely fashion on a daily, weekly or monthly basis per the direction of region or corporate management.Develops, monitors, coaches and manages staff, ensuring the development of employees through orientation, training establishing objectives, communication of rules, constructive discipline. Builds employee morale, motivation and loyalty and fosters a team-like environment.
Bachelors degree and at least 3 years of healthcare intake/admissions and/or reimburseme! nt experience OR a high school diploma and at least 5 years of healthcare intake/admissions and/or reimbursement experience. At least 1 year of experience directly managing people including hiring, developing, motivating, and directing people as they work. Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems. Experience collaborating with internal resources to develop strategies that meet department goals within budget and established timelines. Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling). Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns). Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character ! spacing, inserting a picture, changing slide layout and theme colors, a! dding transitions, customizing slide numbers, changing chart style and/or formatting font).Preferred Qualifications: Bachelors degree in Healthcare Administration or Business-related field. Previous Infusion Medical Billing/Collections or Intake/Admissions experience. At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
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This job starts available on: Sat, 25 May 2013 09:41:27 GMT
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