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Manager, Reimbursement: Sutter Health

Sutter Connect provides health care management and administration services, including billing and accounts receivable and managed care administration, for provider groups, facilities and payers. Established in January 1999 as a Sutter Health affiliate, Sutter Connect has grown to be a leading health care management and administration services company providing services not only to Sutter affiliated groups but to other organizations as well. Sutter Connect draws upon our experienced team, sophisticated technology and processes, and high service standards to provide the best quality services and value to our clients. The Reimbursement Manager leads and directs strategic conception, implementation and maintenance of reimbursement strategies and systems designed to facilitate and maximize fee for service reimbursement for Sutter Connect clients. The Manager ensures reimbursement policies are consistent with federal and state regulations, and third-party contract compliance. The Manager is responsible for the oversight of reimbursement analysis activities and management/client reporting. This position provides management and administrative direction to Reimbursement Department Analysts and serves as a knowledge expert to company and client management for related inquiries.

Education
A bachelor's degree is required, preferably in the area of Business Administration, Healthcare Administration, Finance or related quantitative discipline. A combination of related education and experience will be considered.

Experience/Skills
· The position requires the knowledge that would normally be acquired through a minimum of five years experience as a manager in such areas as medical office/hospital administration,
healthcare receivables management, or related experience which requires demonstrated knowledge of physician coding, billing, reimbursement and statistical reporting.
· Extensive working knowledge of billing and reimbursement rules and regulations for Federal, State and Commercial entities.
· In-depth knowledge of medical terminology and coding practices.
· Direct knowledge of the content, interpretation and application of third-party payor contracts and of effective methodologies relating to healthcare reimbursement.
· Ability to manage and help develop sophisticated reports related to provider reimbursement data, physician coding and charge description masters.
· Ability to be creative in the development and enhancement of processes, manage multiple priorities in a complex and fast paced business environment and produce timely, accurate and lucid
information within deadlines.

Skills:
· High level of proficiency with PC tools such as spreadsheets, databases, word processors, etc. is required.
· Strong verbal and written communication skills; strong presentation skills; ability to communicate effectively and diplomatically with client physicians, and health care business executives, and
staff at all levels of the organization.
· Ability to influence people and accomplish tasks without direct lines of authority using outstanding communication skills (written and verbal) as well as the ability to effectively interact with
internal staff and clients required.

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