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United Surgical Partners International, Inc · 2 days ago

Director of Payments & Payer Reimbursement

Dallas, TX

Contract

Onsite

Director/Executive

7+ years exp

United Surgical Partners International, Inc is focused on optimizing payer reimbursement operations for surgical hospitals. The Payer Reimbursement Director will lead the reimbursement department, ensuring compliance and maximizing revenue integrity through effective management of payer-related activities.

Health CareWellness

Responsibilities

Provide strategic leadership to the Payer Reimbursement department, setting goals, KPIs, and performance standards aligned with organizational objectives

Oversee all aspects of payer reimbursement, deposit reconciliation, contract performance, variance resolution, and accurate execution of payer grids

Collaborate with Revenue Cycle, Billing, Collections, and Payments leadership to streamline workflows and improve efficiency

Develop and implement policies, procedures, and best practices to optimize reimbursement accuracy and reduce revenue leakage

Track and report on department performance, identifying trends, root causes, and opportunities for improvement

Serve as the escalation point for payer issues, refunds, and unresolved reimbursement issues

Communicate regularly with hospital executives and revenue cycle leadership regarding payer performance, cash flow impacts, and operational challenges

Partner with IT/analytics teams to enhance dashboard reporting and reimbursement tracking tools

Lead, coach, and mentor managers of reimbursement analysts, refund specialists, and supervisors

Conduct performance reviews, establish development plans, and provide ongoing training to strengthen technical and analytical expertise

Foster a culture of accountability, compliance, and continuous improvement

Qualification

Payer reimbursementContract managementRevenue cycle managementManaged care contractsProcess improvementsAnalytical skillsNegotiation skillsCommunication skillsLeadership experience

Required

Bachelor's degree in finance, Healthcare Administration, Business, or related field preferred and/or 7-10 years of experience in payer reimbursement or revenue cycle management a must

At least 3-5 years in a leadership or director-level role overseeing payer relations, contract management, or reimbursement operations

Strong knowledge of managed care contracts, payer reimbursement methodologies, and regulatory requirements related to refunds and credit balances

Proven experience leading cross-functional teams and implementing process improvements

Excellent analytical, negotiation, and communication skills

Company

United Surgical Partners International, Inc

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United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals.

Founded in 1998

Addison, Texas, USA

10001+ employees