Reimbursement Manager

5 days ago

🏖️ New Jersey – Remote

Although this job is listed in New Jersey, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Lingraphica

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Lingraphica is a company that provides advanced augmentative and alternative communication (AAC) devices and applications designed to help individuals with communication challenges. Their products include devices like TouchTalk, TouchTalk Plus, and MiniTalk, which facilitate communication and speech improvement. Lingraphica also offers therapy apps for conditions like aphasia and other communication impairments, providing resources like educational webinars and clinical guides. With extensive insurance coverage, they ensure accessibility and support for users and caregivers to try and utilize their devices effectively. The company aims to empower users to improve their quality of life through enhanced communication abilities.

Aphasia • Online Speech Therapy • Speech-Generating Devices • Speech Therapy Apps • Telemedicine

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧘 Wellness

📋 Description

• The Reimbursement Manager is responsible for overseeing the reimbursement processes for Lingraphica’s products and services. • This role ensures efficient and compliant operations within the Revenue Cycle Management (RCM) team, optimizing reimbursement workflows, claim submissions, denials management, and payer relationships. • The ideal candidate has a strong background in healthcare reimbursement, insurance authorizations, billing, and compliance, with a focus on process improvement and operational efficiency. • Oversee the end-to-end reimbursement process, including claim submission, follow-ups, appeals, and denials management. • Ensure timely and accurate billing to private insurers, Medicare, Medicaid, and other payers. • Develop and implement strategies to optimize reimbursement rates and reduce claim denials. • Monitor reimbursement trends, payer policies, and regulatory updates to ensure compliance. • Identify opportunities for workflow improvements within the reimbursement function. • Collaborate with internal teams (Funding, Contracts, Customer Support) to streamline reimbursement processes. • Ensure adherence to all payer guidelines, HIPAA, and compliance requirements.

🎯 Requirements

• 5+ years of experience in healthcare reimbursement, medical billing, or revenue cycle management. • Leadership experience with the ability to manage and mentor team members effectively. • Strong knowledge of Medicare, Medicaid, private insurance, and payer reimbursement policies. • Experience with claims processing, denials management, and appeals. • Familiarity with healthcare compliance regulations (HIPAA, CMS guidelines, etc.). • Proficiency in billing and reimbursement software, electronic health records (EHR), and reporting tools. • Strong analytical, problem-solving, and communication skills.

🏖️ Benefits

• Employee works from home and is expected to maintain a safe, productive work environment with secure internet access. • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. • Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.