Reimbursement Supervisor

7 days ago


Taguig, Philippines John Clements Consultants, Inc. Full time

Responsibilities Oversee the day-to-day operations and deliverables of the Reimbursement Team, including the preparation, review, and submission of health insurance cost reports, reimbursement analytics, and regulatory compliance activities. Lead and develop a team of reimbursement analysts by managing workflow, providing training, monitoring performance, and fostering a collaborative, high-performing work culture. Supervise the preparation, review, and filing of Medicare, Medicaid, CARES Act, FEMA, and Uncompensated Care reports, ensuring accuracy, timeliness, and full regulatory compliance. Manage cost report audits, appeals, and reopenings, coordinating closely with government agencies, auditors, and external consultants. Lead financial modeling, impact assessments, and reconciliations to support informed business decisions and strategic financial planning. Act as the primary point of contact for U.S. and Global Business Services reimbursement matters, overseeing payer policy documentation and ensuring compliance with all requirements. Identify and implement opportunities for process enhancement across reimbursement operations, revenue cycle management, and credentialing audits to improve efficiency and accuracy. Qualifications Bachelor’s degree in a relevant field (required). At least 5 years of experience in Reimbursements or Billing in Healthcare BPO or Shared Services Minimum of 2 years of direct leadership or supervisory experience. Has experience managing regulatory audits and appeals Willing to work in a hybrid setup and flexible with work schedules. #J-18808-Ljbffr



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