Director of Payments & Payer Reimbursement at NSN Revenue Resources, LLC

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Apr, 26

Salary

0.0

Posted On

28 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer Reimbursement, Contract Analysis, Underpayment Recovery, Reconciliation, Revenue Cycle, Billing, Collections, Payments, Analytical Skills, Negotiation Skills, Communication Skills, Leadership, Process Improvements, Managed Care Contracts, Regulatory Requirements, Team Management

Industry

Financial Services

Description

Description Position Overview: The Payer Reimbursement Director is responsible for leading and overseeing the organization’s payer reimbursement operation and ensure accurate, compliant, and optimized all payer-related activities for our Surgical Hospitals. This role will oversee all aspects of Payer Reimbursement, including contract analysis, underpayment recovery, reconciliation, and the Credit Balance & Refunds team. The Director serves as a key liaison between hospitals, payers, and internal stakeholders to drive revenue integrity, ensure contractual compliance, and maximize reimbursement across all surgical hospital facilities. Key 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. Requirements 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.

Responsibilities

The Director of Payments & Payer Reimbursement is responsible for leading the payer reimbursement operations and ensuring compliance and optimization of all payer-related activities. This includes overseeing contract analysis, underpayment recovery, and serving as a liaison between hospitals and payers.