Director of Managed Care Reimbursement
U.S. Physical Therapy, Inc. · Houston, TX · 1 mo ago
RemoteRemoteManagementFull-time
Qualifications
- Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
- Versed in modeling and analytics
- Skilled in synthesizing data
- High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
- Provide VP with strategic analysis and trend evaluation
- Translate reimbursement changes & the impact to revenue stream
- Communicate policy changes cross-functionally
- Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
- Drive initiatives to identify and recoup underpayments
- Oversee the Payment Compliance & Chargemaster teams
- Support VP in due diligence for strategic partnerships
Education & Experience
- Bachelor’s/Masters in Business, Finance, Health Care or related field required
- EMR experience, Raintree experience a plus
- Experience with BI tools
- Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
Additional Information
- All your information will be kept confidential according to EEO guidelines.
- The anticipated base salary range for this position is 135,000-145,000.
- Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography.
- Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company's plan.