Director of Reimbursement

Description

At MHMR Concho Valley, our mission is “Working together to help people help themselves.”

If you are serious about making a difference, we guarantee you’ll love being a part of the MHMR Concho Valley.

GENERAL DESCRIPTION:

The Director of Reimbursement works under the direction of the (CFO) Chief Financial Officer.  The Director of Reimbursement will coordinate and maintain the process for credentialing and enrollment of all providers as required by commercial payers, Medicare, and Medicaid and oversee denied claims with the MCO’s and private insurance. This position will oversee third-party billings and payment collections. Strong managerial, leadership, and business office skills, including critical thinking. Supervisor over billing, billing revenue, patient accounts & consumer benefits.

OTHER FUNCTIONS & DUTIES:

The Director of Reimbursement will manage all aspects of the medical billing and credentialing area under the direction of the Chief Financial Officer. Major responsibilities will include directing and coordinating the overall functions of medical billing and the credentialing of contractors and employees. The Director of Reimbursement will have the sole responsibility of maintaining MHMR Concho Valley’s records and compliance regarding the credentialing and network participation of employed and contracted providers with Medicaid and Medicare, Medicaid Managed Care organizations, commercial insurance plans. The Director of Reimbursement will be responsible for assuring MHMRCV providers are initially enrolled and re-enrolled/revalidation with Medicaid and Medicare. The Director of Reimbursement will create, maintain, and update provider profiles within the credentialing software database and ensure primary source verification is complete for licensed providers.

This position will also be responsible for directing and coordinating the overall functions of medical billing to ensure maximization of accounts receivables. This includes overseeing third-party billings and payment collections, reviewing discrepancies and non-payment issues and working with billing staff on rejected or denied claims. A great focus will be on revenue cycle management. Additional duties include assisting with cost reporting financial reporting. 

EDUCATION, TRAINING, & EXPERIENCE:

• Bachelor’s degree from an accredited college or university
• Background with accounting/financial reporting is recommended
• Mid-to-upper-level expertise in Electric Health Record (EHR) systems and experience in managing or supervision.
• Minimum 2 - 3 years of experience with medical insurance, healthcare billing, and collections in a medical practice or health system
• Understanding of medical billing rules and regulations
• Minimum two (2) years supervisory or management experience
• Some combination of education and experience may be considered

REQUIREMENTS

• Valid Texas Driver License required.
• Must not have more than 3 moving violations in the last 3 years.
• Must be insurable on the Center’s insurance.
• Must be able to pass a background check.
• Must be able to complete all MHMR Concho Valley training.

SHIFT:

Monday – Friday, 8:00 a.m – 5:00 p.m.  

BENEFITS

We offer competitive salary and comprehensive benefit package including medical, dental, and life insurance, retirement and 457 plan, other voluntary benefits, vacation, employee choice days, sick time off and holidays.  https://mhmrcv.org/wp-content/uploads/2024/04/Employee-Benefits-Sheet-05-2024.pdf

APPLICATION PROCEDURES:   All applicants applying for positions at MHMR Services for the Concho Valley must complete our Center’s online application form to be considered for any position.   Resumes will be accepted, but they will not take the place of MHMR Services for the Concho Valley’s application form.  

CLOSING DATE:   Open until filled.

For questions, please email Jobs@mhmrcv.org.

Convictions related to any sexual assault, aggravated assault, drug related offense, murder, theft, battery, or any other crime involving personal injury; injury to a child, elderly individual, disabled individual, or threat to another person; abandoning or endangering a child; and aiding suicide, may make you ineligible for employment in positions, in direct contact with consumers of MHMR Services for the Concho Valley. The names of all prospective employees are cleared through the Texas Department of Public Safety to determine the existence of such records. Falsification of the application for employment is grounds for dismissal. Ask the personnel office for further information. For insurance purposes, driving records will be checked on all employees that are required to drive as stated in their position description. If an employee is determined to be uninsurable, employment may be dismissed.

It is the policy of the Center to create and maintain a safe, calm, and secure environment with supportive care, a system-wide understanding of trauma prevalence and impact, recovery and trauma-specific services, and recovery-focused, consumer-driven services that applies to all staff, volunteers, contracted providers, and community partners.

MHMR Concho Valley is a trauma informed organization dedicated to creating and maintaining a safe, calm, and secure environment with supportive care, a system-wide understanding of trauma prevalence and impact, recovery and trauma specific services, and recovery-focused, consumer-driven services that applies to all staff, volunteers, contracted providers, and community partners.  MHMR Concho Valley has made an implicit commitment to prevent and reduce suicide deaths among individuals served by the Center through applying the elements of safer suicide care outlined the Zero Suicide Framework (lead, train, identify, engage, treat, transition, improve).   

EQUAL OPPORTUNITY EMPLOYER

Qualifications

Salary : $56,000 - $60,000