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Director Reimbursement Jobs in Decatur, GA (NOW HIRING)

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Director Reimbursement information

See Decatur, GA salary details

$63.5K

$133.9K

$189.4K

How much do director reimbursement jobs pay per year?

As of Jun 8, 2026, the average yearly pay for director reimbursement in Decatur, GA is $133,947.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,400.00 and $160,100.00 per year, depending on experience, location, and employer.

What are the typical daily responsibilities of a Director Reimbursement?

As a Director Reimbursement, your daily responsibilities will often include overseeing reimbursement strategies, ensuring regulatory compliance, analyzing payer contracts, and liaising with billing, finance, and clinical departments to optimize revenue capture. You’ll regularly review reimbursement policies, lead process improvement initiatives, and address reimbursement issues or denials. Collaboration with both internal leaders and external payers is common, requiring you to explain complex reimbursement matters and help implement best practices. This role is dynamic and strategic, offering challenges that are well-suited for those who enjoy financial analysis and cross-departmental leadership.

What is a Director Reimbursement job?

A Director of Reimbursement oversees healthcare reimbursement strategies, ensuring compliance with regulations and optimizing financial performance. They manage billing, coding, payer negotiations, and reimbursement policies to maximize revenue. This role requires expertise in healthcare finance, government regulations, and insurance reimbursement methodologies.

What are the key skills and qualifications needed to thrive in the Director Reimbursement position, and why are they important?

To thrive as a Director Reimbursement, you need in-depth knowledge of healthcare reimbursement methodologies, regulatory compliance, and a degree in health administration, finance, or a related field. Familiarity with claims management systems, revenue cycle management software, and certifications such as CRCR (Certified Revenue Cycle Representative) or HFMA (Healthcare Financial Management Association) credentials are highly valued. Excellent leadership, negotiation, and analytical skills, along with the ability to communicate complex information clearly, make candidates stand out. These competencies are crucial for optimizing reimbursement processes, ensuring regulatory compliance, and leading successful cross-functional teams in a healthcare organization.

What job categories do people searching Director Reimbursement jobs in Decatur, GA look for? The top searched job categories for Director Reimbursement jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Director Reimbursement jobs? Cities near Decatur, GA with the most Director Reimbursement job openings:
Director Reimbursement jobs near you

Director - Government Reimbursement

Piedmont Healthcare Inc.

Atlanta, GA • On-site

Full-time

Posted 18 days ago

Piedmont Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 449 frontline employees who took The Breakroom Quiz

404th of 869 rated healthcare providers

Job description

Overview
Experience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
Responsibilities
Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to the Piedmont Healthcare Government Reimbursement Executive Director.
KEY RESPONSIBILITIES:
1. Prepares and files Piedmont Healthcare Medicare/Medicaid/Tricare Cost Reports by applicable federal and state deadlines.
2. Prepares and maintains all schedules and analysis supporting cost report preparation.
3. Coordinates Medicare and Medicaid audits and prepares all supporting work papers and documentation.
4. Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
5. Works with senior management to research, analyze, and communicate reimbursement issues.
6. Prepares pro-formas with regard to third party reimbursement.
7. Monitors regulatory changes for compliance and also seeks ways to optimize reimbursement.
8. Assists Piedmont Healthcare and system entities with reimbursement percentages for use in calculating contractual reserves. Provides the Government Reimbursement Executive Director with research and ad hoc reporting, as directed.
9. Provides documentation for use in calculating monthly reserve requirements for Piedmont Healthcare and system entities.
10. Prepares and assists Piedmont Healthcare and system entities with Medicare, Medicaid, and state surveys.
11. Reviews and analyzes Medicare and Medicaid Remittance Advices to ensure proper payments.
12. Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.
13. Reviews cost report settlements for accuracy and compliance with regulations.
14. Review cost report settlements and assists with appeal filings, where applicable.
15. Coordinates cost report reopening reviews and prepares all supporting documentation.
16. Assists with graduate medical education reporting for Piedmont teaching facilities.
17. Assists with the completion and timely submission of the Interns and Residents Information System (IRIS) software program to Medicare.
18. Prepares the Allied Health reporting and reimbursement for cost report filing.
19. Prepares the Wage Index and Occupational Mix Survey filings and reviews.
Qualifications
Education
  • Bachelor's Degree in Accounting or a related field Required
  • Master's degree in Accounting or a related field Preferred

Work Experience
  • 7 years of government healthcare reimbursement and accounting experience Required
  • Experience with CMS PRM regulation manuals, the CMS 2552 software system, and the CMS IACS/ EIDM system Required

Licenses and Certifications
  • None Required
  • Certified Public Accountant (CPA) Preferred

Business Unit : Company Name
Piedmont Healthcare Corporate

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