NSN Revenue Resources · 9 hours ago
Director of Payments & Payer Reimbursement
Dallas,TX,US
Full-time
Onsite
Mid, Senior Level
7+ years expNSN Revenue Resources is seeking a Director of Payments & Payer Reimbursement to lead and oversee the organization’s payer reimbursement operations. This role involves managing payer-related activities, ensuring compliance, and maximizing reimbursement for surgical hospitals.
BillingPayments
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
Required
7-10 years of experience in payer reimbursement or revenue cycle management
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
Preferred
Bachelor's degree in finance, Healthcare Administration, Business, or related field
Company
NSN Revenue Resources
NSN Revenue Resources is an ASC Operations and Revenue Cycle Management company dedicated to providing strategic, integrity driven solutions to our clients.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase