Reimbursement and Billing Director

1 week ago

Arlington, United States Kerecis LLC Full time
Job DescriptionJob DescriptionDescription:

The Reimbursement and Billing Director oversees Benefits Investigation (BI) and Field Reimbursement and is responsible for the strategic development of building a highly functional reimbursement team that improves our value proposition for our customers. This includes collecting and implementing improvement opportunities, solving customer-related reimbursement issues, proactively training customers on Kerecis reimbursement, providing reimbursement training to our salesforce, and creating standard operations that can be managed using Key Performance Indicators. The Director manages the team supervisors, who in turn are responsible for reimbursement issues pre-application and supporting client billing issues post-application, respectively.

An essential member of the Wound team, the Director reports to the COO and works in close collaboration with senior Wound Sales management with the clear goal of supporting revenue growth through reimbursement support to field sales.

This full-time role is based on site in a Kerecis office.

Responsibilities

  • Oversee the entire reimbursement process from inbound BIs to billing and reimbursement.
  • Coordinate and align the BI and FR teams to optimize and synchronize results for Sales, clients, and patients
  • Ensure the teams are fully and properly trained
  • Ensure sufficient staffing of the BI and FR teams commensurate with the growth of the Wound sales team and client base
  • Ensure proper usage of Fishurance, Kerecis Current, and other internal systems
  • Ensure that turnaround times align with determined metrics; establish new metrics as needed
  • Coordinate with the Policy team to adjust investigations with policy changes
  • Ensure that the teams follow up rapidly on any issues or complaints from any stakeholders, including clients and Sales
  • Ensure HIPAA compliance within the BI and FR teams

Benefits Investigations

  • Oversee the BI supervisor
  • Coordinate with the Artificial Intelligence (AI) developer to ensure that the AI engine is updated and maintained

Field Reimbursement

  • Oversee the FR supervisor
  • Advise the Policy team on suggestions and changes noted in the field
  • Train clients on Kerecis Current
  • Increase adoption of Kerecis Current
  • Assist clients for accurate billing of Kerecis products
  • Manage the FR team to do client visits, business reviews, etc.
  • For identified Enterprise Accounts, create and implement a proactive enterprise billing review program


Requirements:

Competencies

  • Experience with Medicare and private insurance reimbursement
  • Experience in the Skin Substitute a plus

Education & Experience

  • Bachelor’s degree or equivalent experience
  • Experience managing managers and detailed processes
  • Experience in customer service and other client facing roles

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibili¬ties that are required of the employee for this job. Duties, responsibilities and activities may change at any time. Kerecis is an equal opportunity employer.


  • Field Reimbursement Manager

    1 week ago

    Arlington, United States Kerecis LLC Full time

    Job DescriptionJob DescriptionDescription:The Field Reimbursement Manager supports the Kerecis field sales team, customers, and internal Benefits Investigation (BI) team on all reimbursement issues and inquiries. The Manager is responsible for conducting field-based customer support and education in private offices, hospitals, and wound care centers....

  • Director of Revenue Cycle Management

    1 week ago

    Arlington, United States CareerBuilder Full time

    The Director of Revenue Cycle drives and directs reimbursement/revenue cycle strategy and operations for all of Advantias Practices that operate within multi-state locations. The position is responsible to oversee the functions and performance of the revenue cycle to include the effective management and guidance of receivables. This position is also...

  • PN REIMBURSEMENT SPECIALIST

    Found in: Careerbuilder One Red US C2 - 2 weeks ago

    Arlington, TX 76004, USA, United States Cook Children's Health Care System Full time

    The underpayment specialist is responsible for payment variance activities related to the incorrect processing of claims. Responsibilities include: validating underpayment variances and taking appropriate resolution steps, tracking underpayment recoveries, trending underpayments by payer and issue and successfully recovering underpaid amounts as efficiently...

  • Billing Accountant with Security Clearance

    Found in: Dice One Red US C2 - 2 weeks ago

    Arlington, United States Cambridge International Systems, Inc. Full time

    When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of core values: commitment, integrity, and perseverance. Join our team and help us confront today’s most threatening and complex obstacles! Cambridge International Systems, Inc. has a full-time Billing Accountant opportunity available based in...

  • Store Sales Director

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Arlington, United States Bow and Arrow Holdings, LLC Full time

    Annual Compensation: $70,000 with monthly commissionThis is NOT a remote position. Office location is in Ballston Quarter, VA.Position Overview:The Store Sales Director is responsible for overseeing all aspects of the sales operations within their store location. They are responsible for achieving sales targets, managing the sales team, developing and...

  • Collaborative Delivery Director

    Found in: Appcast US C2 - 1 week ago

    Arlington, United States PC Construction Company Full time

    PC Construction is looking for a dynamic individual with a passion for collaborative project delivery. This Collaborative Delivery Director will lead preconstruction efforts for some of PC’s largest and most complex water/wastewater projects, overseeing the design development process throughout the lifecycle of design-build and CMAR projects. The...

  • Collaborative Delivery Director

    2 weeks ago

    Arlington, United States PC Construction Company Full time

    PC Construction is looking for a dynamic individual with a passion for collaborative project delivery. This Collaborative Delivery Director will lead preconstruction efforts for some of PC’s largest and most complex water/wastewater projects, overseeing the design development process throughout the lifecycle of design-build and CMAR projects. The...

  • Collaborative Delivery Director

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Arlington, United States PC Construction Company Full time

    PC Construction is looking for a dynamic individual with a passion for collaborative project delivery. This Collaborative Delivery Director will lead preconstruction efforts for some of PC’s largest and most complex water/wastewater projects, overseeing the design development process throughout the lifecycle of design-build and CMAR projects. The...

  • Intensive Outpatient Program Director

    2 weeks ago

    Arlington, United States Logos Services, LLC Full time

    Job DescriptionJob DescriptionWelcome to Logos IOP, a new Intensive Outpatient Program focused on teens. Our focus is on helping teens with stress management, trauma, depression, and anxiety.The Director of this IOP is responsible for the overall leadership and operation of the facility. The Director of Intensive Outpatient Program shall assure the IOP is...

  • Billing Accountant with Security Clearance

    Found in: Careerbuilder One Red US C2 - 1 week ago

    Arlington, VA, United States Cambridge International Systems, Inc. Full time

    When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of core values: commitment, integrity, and perseveranceJoin our team and help us confront today’s most threatening and complex obstacles! Cambridge International Systems, Inchas a full-time Billing Accountant opportunity available based in...

  • Director of Contracting

    1 week ago

    Arlington, United States HYE Recruiting Full time

    Description: Our client headquartered in Virginia is seeking a Director of Contracts based in Arlington. This is a hands-on position reporting to the CFO and VP of Finance and offers a hybrid workplace. The Director of Contracts will lead and mentor the contracts team and oversee the procurement process. The ideal candidate has successfully prioritized...

  • Director of Contracting

    6 days ago

    Arlington, United States HYE Recruiting Full time

    Description: Our client headquartered in Virginia is seeking a Director of Contracts based in Arlington. This is a hands-on position reporting to the CFO and VP of Finance and offers a hybrid workplace. The Director of Contracts will lead and mentor the contracts team and oversee the procurement process. The ideal candidate has successfully prioritized...

  • Director of Contracting

    Found in: Appcast US C2 - 1 week ago

    Arlington, United States HYE Recruiting Full time

    Description:Our client headquartered in Virginia is seeking a Director of Contracts based in Arlington. This is a hands-on position reporting to the CFO and VP of Finance and offers a hybrid workplace. The Director of Contracts will lead and mentor the contracts team and oversee the procurement process.The ideal candidate has successfully prioritized...

  • Director of Contracting

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Arlington, United States HYE Recruiting Full time

    Description:Our client headquartered in Virginia is seeking a Director of Contracts based in Arlington. This is a hands-on position reporting to the CFO and VP of Finance and offers a hybrid workplace. The Director of Contracts will lead and mentor the contracts team and oversee the procurement process.The ideal candidate has successfully prioritized...

  • Community Director

    2 weeks ago

    Arlington, United States Indio Management. Full time

    Job DescriptionJob DescriptionAllow us to INTRODUCE ourselves:Headquartered in Dallas, Indio is proud to call Texas home. With deep roots in the community, we approach each day with an outward focus on how we can help others. We believe maintaining a lifestyle for our residents is essential, and we focus on exceptional service, effective communication, and...

  • Assistant Wellness Director

    1 week ago

    Arlington, United States CareerBuilder Full time

    Summary Objective: The Assistant Fitness Director is at the forefront of all New Member Orientation and Fitness Sales in each club location. The Assistant Fitness Director manages the New Member Orientation process, assigning sessions to Personal Trainers as appropriate, to ensure all members receive a welcoming experience. The Assistant Fitness Director...

  • Patient Accounts Specialist II

    Found in: beBee jobs US - 2 weeks ago

    Arlington, Virginia, United States MEDSTAR HEALTH Full time

    MedStar Physicians' Billing Services an opening for an experienced Patient Accounts Specialist (Level II) to join our team and work remote from home To be successful, candidates must have a minimum of four years' of progressively responsible experience in hospital/physician patient accounts and collections in medical billing operations. Join one of the...

  • Director of Nursing

    1 week ago

    Arlington, United States Mediko Full time

    Job Description Job Description For an exciting and fulfilling career in Correctional Healthcare, come join us at MEDIKO! At MEDIKO our work is mission driven by our desire to help others. We are a privately-owned, correctional healthcare provider that offers compassionate, comprehensive medical and mental health care to the underserved populations of our...

  • Director of Nursing

    1 week ago

    Arlington, United States MEDIKO INC Full time

    Job DescriptionJob DescriptionFor an exciting and fulfilling career in Correctional Healthcare, come join us at MEDIKO!At MEDIKO our work is mission driven by our desire to help others. We are a privately-owned, correctional healthcare provider that offers compassionate, comprehensive medical and mental health care to the underserved populations of our...

  • Sr. Revenue Accountant

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Arlington, United States First Rate, Inc Full time

    We value relationships and flexibility; candidates must be open to a hybrid work schedule in the Arlington, TX office.THE ROLEThe Revenue Accountant will be responsible for accurately recording, reporting, and maintaining all financial transactions related to the revenue cycle in accordance with ASC 606 and GAAP. Develop collaborative relationship with...