Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Create an account to get recommended jobs that match your resume and apply to multiple jobs in seconds!
8-15 characters
Contains Number
Contains Lowercase
Contains Uppercase
Contains Special Character
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Mwn1yf5zc34dq013712

Director of Billing and Managed Care

Eurofins Atlanta Full-Time
$96,561.00 (Careerbuilder est.)
Apply on company site
Eurofins is searching for Director of Billing and Managed Care. Direct all 3rd party, governmental, private and institutional billing functions and the correlating financial analysis teams. Works directly with President on managed care strategy, negotiation, pricing, and all supporting functions. Manages the billing information, billing system, financial analysis, and managed care information.

Director of Billing and Managed Care responsibilities include, but are not limited to, the following :

• Oversees billing department and supporting functions and vendors.

• Oversees and participates in the development, negotiation, implementation, monitoring and management of all managed care agreements. Assist in the developments of policies and procedures to adhere to the contractual agreements.

• Evaluates and recommends financial parameters and reimbursement methodologies.

• Implements new managed care programs in conjunction with leadership team. Keeps staff apprised of developments in the managed care marketplace.

• Directs and participates in financial analysis of revenue projections based on contractual rates with payers, adverse trends, terms and appropriate recommendations or conclusions.

• Analyze and monitor financial aspects of existing managed care contracts. Utilize analysis for feedback on contract renewals, renegotiations or termination. Make recommendations regarding participation or non-participation with new or existing agreements.

• Facilitates promotion of departmental programs to provider networks.

• Develop and audit payer fee schedules based on negotiated reimbursement rates by contract and/or product line.

• Maintain and distribute participation information by payer by network product for all signed contracts, contracts under-negotiation, or plans not being negotiated.

• Responsible for reviewing managed care legal contract language and negotiating language to meet agreed to parameters with legal counsel to lessen risk and improve operational efficiencies. Strategic planning accountability for other reimbursement & profitability endeavors with subcontract arrangements, government programs, pay for performance initiatives.

• Assembles information and prepares materials for presentation to committees, administrators and managed care networks. Liaison with laboratories, other affiliated organizations and managed care organizations regarding issues pertaining to managed care. Initiate contact with Managed Care Plans to begin negotiation/re-negotiation process. Catalog and organize contracts along with helping maintain contracts data base and maintaining Managed Care data base. Work and manage Data Analyst to establish negotiating position and work with other Revenue Cycle departments to assure contract compliance. Develop strategies to link payment to performance and quality.

• Perform special projects as assigned by the President.

The ideal candidate would possess :

• Strong computer, scientific, and organizational skills

• Excellent communication (oral and written) and attention to detail

• Ability to work independently and as part of a team, self-motivation, adaptability, and a positive attitude

• Ability to learn new techniques, perform multiple tasks simultaneously, keep accurate records, follow instructions, and comply with company policies

Basic Minimum Qualifications :

• Bachelor's degree in a related field is required.

• Seven years billing, health care finance, or managed care experience required

• Authorization to work in the United States indefinitely without restriction or sponsorship

Position is full-time, Monday-Friday, 8 a.m.-5 p.m., with overtime as needed.

As a Eurofins employee, you will become part of a company that has received national recognition as a great place to work. We offer excellent full-time benefits including comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays and vacation, personal days, and dental and vision options.

To learn more about Eurofins, please explore our website www.eurofinsus.com .

Eurofins is a M/F, Disabled, and Veteran Equal Employment Opportunity and Affirmative Action employer.

 

Recommended skills

Presentations
Leadership
Attention To Detail
Adaptability
Scheduling
Negotiation

Location

CareerBuilder Estimated Salary What is the Careerbuilder Estimated Salary? Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.

x

What is the Careerbuilder Estimated Salary?

Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.
This estimation is based on Job title, Industry, Location and Skills
$96,561
Avg. Yearly Salary
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 12984

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.