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Reimbursement Services Manager

4 weeks ago

Flagstaff, United States The Guidance Center Full time

**ESSENTIAL FUNCTIONS**: 1. Manage the day-to-day operational requirements of the Department.

2. Trains, assists, and advises Reimbursement staff.

3. Works with each staff member to identify and solve reimbursement issues and problems.

4. Reviews A/R aging for timeliness of billing and payments.

5. Reviews Explanation of Benefits for accuracy, correcting billing if necessary.

6. Maintains special billing functions.

7. Ensures correct contract rates are loaded into the EMR and reimbursed according to contract rates.

8. Ensures denials are worked in a timely and accurate manner.

9. Has the capacity to create detailed reports analyzing billing trends and systemic causes of denials and under-payments.

10. Assists the Finance Manager with special projects.

11. The employee must work well under pressure meeting multiple and sometimes conflicting deadlines.

12. The employee shall, at all times, demonstrate cooperative behavior with colleagues, supervisor and clients.

13. Participate in the recruitment and interviewing of prospective staff employees.

14. Monitors the compliance of staff with company policies and procedures.

15. Provides customer service to internal and external customers and stakeholders.

16. Willingness to learn.

17. Other duties as assigned.

**EDUCATION/KNOWLEDGE/SKILLS**:
**Required**:
Two or more years of experience in a leadership role.

Ability to obtain Arizona Fingerprint Clearance Card.

At least 21 years of age or older.

Valid AZ driver's license.

Interpersonal relationship skills.

Complex problem-solving skills.

Technical skills.

Computer software skills.

Resource management skills.

**Preferred**:
Bachelor's Degree.

Experience or training equivalent to three years in A/R and Revenue Cycle Management functions.

Experience in computerized accounting or Electronic Medical Record (EMR) systems.

Post High School education in use of computerized systems.

Computer keyboard.

10 key by touch.

Excellent computer skills in a Windows environment.

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