Reimbursement Manager
Listed on 2026-07-07
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Management
Healthcare Management, Operations Management
Overview
About Health Drive
Health Drive delivers on-site healthcare services to residents of long-term care facilities, offering a comprehensive suite of specialties including primary care, behavioral health, dentistry, optometry, podiatry, and audiology. Our mission is to improve the quality of life for patients through compassionate and consistent care, while supporting our partners with reliable, integrated healthcare solutions tailored to the unique needs of senior populations.
About You
You are no stranger to healthcare and consider yourself an expert in denial management! You come with prior managerial experience of a minimum of 3 years, preferably of team(s) of 8+. Identifying red flags excites you and you enjoy the thrill of a fast-paced environment!
About the Role
Health Drive is seeking a full-time Reimbursement Manager to join our team! As a Reimbursement Manager within our Revenue Cycle Department, you will play a pivotal role in leading our Accounts Receivable team toward achieving our Revenue Cycle Key Performance Indicators (KPIs) for denial management, cash collections, bad debt and DSO objectives. Your hands-on leadership will be instrumental in maximizing revenue opportunities, resolving denial issues and fostering a positive work environment.
This role is in person 5-days a week at our Framingham, MA office. There is potential for 2-days hybrid following the first 6 months of employment. We are conveniently located off Rte. 9 in Framingham, MA, close to Rte. I90 & I495, in a spacious and modern office with a workout center available right in the building!
Compensation Range: $90,000 to $110,000 / experience dependent
What's in it for you:
What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.
Responsibilities- Lead and oversee the Accounts Receivable staff to ensure consistent follow-up and resolution of unpaid, incorrectly, or partially paid and denied medical and dental claims for services provided in Post Acute care setting.
- Ensure timely identification and resolution of payer denial trends; work closely with payer provider relations, claims processing management, and other departments as required by the payers to resolve denial and incorrect payment issues.
- Provide hands‑on training and daily support to staff on systems and processes to address and resolve AR‑related issues daily.
- Review and improve processes to increase staff and system efficiency to ensure achievement of Revenue Cycle Key Performance Indicators (Minimize upfront claim rejections and denials, bad debt write‑offs, reduce DSO and increase daily cash collections).
- Educate staff on compliant actions for resolving Medicare, State Medicaid, and third‑payer payer claim issues.
- Review outstanding AR balances regularly, make recommendations for bad debt, and ensure timely adjustment processing.
- Implement enhanced productivity and quality measurement tools for the Accounts Receivable area.
- Foster a positive, team‑oriented, and inclusive work environment, building confidence and trust among team members.
- Effectively communicate goals and objectives to team members, monitoring progress daily.
- Provide extensive hands‑on training to new staff and ongoing development for existing employees on systems, payer requirements, and policies.
- Manage RCM external vendor relationships.
- Develop and implement standardized policies and procedures and programs for onboarding and retraining; including detailed training manual for denial resolution management, appeals and other AR related tasks.
- Evaluate employee performance, provide ongoing feedback, draft annual performance reviews, and conduct review meetings, implementing performance improvement plans as needed.
- Demonstrate strategic thinking, prioritize tasks, manage multiple projects, and allocate resources effectively as required.
- Assist with various projects and month‑end close processes to meet business objectives.
- Perform other duties and tasks as assigned as appropriate or necessary.
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