Full-Time Reimbursement Supervisor-Patient Accounting

At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care."

 

Ashe Memorial Hospital is proud to be Voted Ashe's Best Place to Work 2022, 2023, 2024 & 2025. Come be a part of our dynamic team; you'll join Ashe's 2022 & 2023 Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice!  This is your opportunity to make a large difference in a small community!

Hours: Monday through Friday, general business hours. Forty (40) hours per week. Evening and weekend if necessary. This position has supervisory responsibilities. 

Job Summary:  

The Reimbursement Supervisor is responsible for supporting the organization’s revenue cycle through comprehensive oversight of revenue integrity processes, denial prevention and resolution, and Charge Description Master (CDM) maintenance and optimization. This position serves as a key resource in identifying revenue leakage, ensuring compliance with regulatory and payer requirements, improving charge capture accuracy, and collaborating with operational departments to strengthen reimbursement outcomes.   

This role will act as a subject matter expert, provide guidance on departmental operations, manage, supervisor and train assigned team members.  This role will assist with analysis for third-party reimbursement to ensure payer contract compliance. 

The role functions as a liaison among Revenue Cycle, Coding, Clinical Departments, Pharmacy, Laboratory, Materials Management, and Finance to ensure accurate billing practices, compliant charging workflows, and effective denial mitigation strategies. 

MINIMUM JOB QUAILIFICATIONS 

Education: 

• Associate degree in Healthcare Administration, Business, Finance, Health Information Management, or related field required. 

• Bachelor’s degree preferred. 

experience: 

Experience: 

• Minimum of 3–5 years of revenue cycle, billing, coding, denial management, or revenue integrity experience in a healthcare setting required. 

• Critical Access Hospital or hospital-based experience preferred. 

• Experience with CDM maintenance and billing compliance is highly preferred. 

License/certifications: 

• Certified Revenue Cycle Representative (CRCR) 

• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) 

• HFMA Revenue Cycle Certification 

• Revenue Integrity Certification preferred 

 Employees hired without a certification may be required to obtain an approved certification with twelve (12) months of hire. 

Primary Job Responsibilities

Revenue Integrity

• Monitor charge capture to identify missed revenue, billing errors, and compliance issues.
• Audit charge processes, Charge Description Master (CDM), and reimbursement methods.
• Review charging workflows to ensure accurate and compliant billing.
• Identify revenue leakage trends and recommend process improvements.
• Evaluate payer contracts, reimbursement rates, and payment methodologies.
• Provide analytical support for managed care contract negotiations and maintenance.

Denials Management

• Review and resolve denied or underpaid claims.
• Analyze denial trends and implement corrective actions.