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Form of workThe Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity.
Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. This position is responsible for processing of insurance claims for our customers to a multitude of payors across the nation. This position is accountable for the development and implementation of current and future strategies to bill funding sources and customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s revenue and receivables. This is the foundational position of this function.
This position will be responsible for building out the department to support Kestra’s growth both domestic and internationally. Further, this position will also be responsible for compliance functions related to Medicare and Medicaid compliance within the Company. ESSENTIAL DUTIES Manage all activities related to reimbursement cycle performance to meet strategic goals. Develop meaningful KPI’s using dashboards to provide meaningful business insights to detect trends and communicate effectively to the organization. Own Billings System including development of reporting mechanisms for the management team. Develop strategic plans and programs for the Reimbursement Cycle and ensure that goals and objectives are properly defined and clearly established. Develop and maintain policies, guidelines, and procedures and ensures consistent implementation and compliance. Plan and direct billing and collections and data processing to ensure accurate patient billing, scheduling and efficient account collection. Set clear production expectations and quality standards for Billings and Collections teams and establish productivity monitoring mechanisms. Enhance and standardize work-flow processes throughout the Revenue Cycle to assist in achieving consistency in maintaining the critical success factors outlined in the company’s standard operating procedures. Monitor effectiveness of collection efforts and maintains insurance billings are current within the established timeframe specified in the department policy. Coordinate and manage hiring, training, mentoring, performance, and continuous education of reimbursement team and with third party partners. Ensures productivity of reimbursement team assignments and directs work order caseloads, shifting responsibilities when necessary.
Ensure that the Company and Team maintains all compliance aspects for both Medicare and Medicaid at both State and Federal levels to be able to obtain reimbursement. Liaise directly with the Sales and Customer Service organizations to ensure efficient reimbursement mechanisms for payors. Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement. Integrity: Commitment, accountability, and dedication to the highest ethical standards. Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service. Action/Results: High energy, decisive planning, timely execution. Innovation: Generation of new ideas from original thinking. Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind. Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others.
A critical skill for pressure situations. COMPETENCIESRequirementsBachelor's degree 12-15 years of combined experience in the following areas: DME / HME reimbursement process (funding, billing & collections), network development, payor relations, healthcare marketplace/management, implementation of health plan contracts and reimbursement service operations. 6 years’ management experience, with a minimum of five direct reports Advance knowledge/proficiency in government (Medicare/Medicaid) regulations and Commercial Insurance Contracts, as required.
Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare/governmental regulations.Preferred: Masters degree 2 years’ experience at a Director level or above Proficiency with Bonafide, Microsoft Office Word, Excel, and PowerPoint Durable Medical Equipment (DME)/Home Medical Equipment (HME) experienceWork ENVIRONMENT Indoor open office environment Minimal noise volume typical to an office environment Extended hours when needed Drug-freePHYSICAL DEMANDS Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage Frequent stationary position, often standing or sitting for prolonged periods of time Frequent computer use Frequent phone and other business machine use Occasional lifting required, up to 25 poundsTRAVELOccasional travel, domestic and international, may be required, less than 25%OTHER DUTIES:This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.BenefitsKestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc.Pay equity is an important part of Kestra's Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity.
Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted.Salary: Annualized between $155,000 and $230,000 plus. Depending on experience and location.
