Manager of Reimbursement

Gifthealth Inc

Columbus, Ohio, United States · Posted Jul 10


Job description

Responsibilities: Lead and manage day-to-day reimbursement operations by overseeing a team of Lead Reimbursement Analysts. The role focuses on maximizing timely reimbursement through the management of benefit investigations, prior authorizations, and appeals.

Requirements: Requires a Bachelor's degree in a related field and a Pharmacy Tech Trainee license. Candidates must have 6+ years of healthcare reimbursement experience, including at least 3 years managing people leaders.

Key skills: Reimbursement Operations, People Management, Benefit Investigations, Prior Authorizations, Denials Management, Patient Assistance Programs, Revenue Cycle Management, KPI Monitoring, Payer Contract Compliance, Excel, CRM, Telephony Systems, Data-Driven Decision Making, Cross-functional Collaboration, Financial Forecasting, Healthcare Administration

Keywords: Healthcare Reimbursement, Specialty Pharmacy, Hub Services, Revenue Cycle Management, Payer Policy, Days Sales Outstanding, Denial Rates, Collection Rates, Coding Guidelines, Pharmacy Tech Trainee License, CRM, Excel, Patient Support Programs, Healthcare Administration, Finance, Billing

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