Reimbursement Services Director jobs in Allentown, PA

Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Additionally, Reimbursement Services Director develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Social Services Director
  • Whitestone Care Center
  • Stroudsburg, PA FULL_TIME
  • We aspire to be the leader in the long-term care industry. It is the commitment to the care of the residents and staff that sets us apart from the rest. From the development of Scratch Kitchens to the partnership with the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!

    We offer everything you are looking for: On Demand Pay * Excellent PTO program * Great health plans * Employee Engagement Activities * Growth Opportunities *Company paid life insurance & much more!

    Each community is made up of people from diverse backgrounds. The team values every individual employee's diversity and the positive social movements that help them. Each community fosters a safe, respectful and inclusive environment in which individual differences and the ways in which everyone contributes is recognized.

    Come join a team that will embrace YOU! Together, the team is stronger than ever!

    POSITION SUMMARY:
    The primary purpose of your job is to ensure that the medically-related emotional and social needs of the resident are met/maintained on an individual basis. You will assist in planning, organizing, implementing, evaluating, and directing the overall operation of the community’s Social Services Department in accordance with current federal, state, and local standards, guidelines and regulations, our established policies and procedures. Will ensure that an on-going social service program is designed to meet, in accordance with the comprehensive assessment, psychosocial well-being of each resident. Follows all health, sanitary and infection control policies and maintains established standards of practice set forth by the community's administration and Social Services Policies and Procedures.

    Education and Qualifications:
    • Bachelor’s degree in social work or in a human services field, including but not limited to sociology, special education, rehabilitation counseling or psychology, if required by state/federal regulations or
    • Possession of a current, unencumbered license to practice as a Social Work within the state in which you work, if required by state/federal regulations or
    • Possess minimum qualifications to work in Social Services as required by the state/federal regulation.
    • High school diploma or equivalent.
    • Must be able to communicate in English and have the ability to follow verbal and written instructions.
    • Must possess and demonstrate the ability to carry out both verbal and written directions.
    • Must possess and demonstrate good interpersonal skills and attention to detail.
    • Ability to work with supervisors, co-workers and community staff in the performance of duties.
    • Ability to observe proper safety and sanitary techniques.
    • Ability to work hours as scheduled based on the requirements of the position/assignment.
    • Must not pose a direct threat to the health and safety of others in the workplace.
    Experience:
    • Must have, as a minimum, one (1) year supervised social work experience in a healthcare setting working directly with individuals, if required by federal and/or state regulations.
    Benefits and Perks*:
    • Comprehensive benefit packages including medical, dental and vision
    • Employer contribution and match for HSA (Health savings account)
    • 401K through Fidelity
    • Paid Time Off (PTO)
    • Educational and tuition opportunities
    • Employee Assistance Program (EAP) with various discount programs offered
    • Employee Recognition Programs
    • Creating an IMPACT!
    We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
  • 17 Days Ago

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Director of Social Services
  • Saber Health Group
  • Bangor, PA FULL_TIME
  • We are a leader in the long-term care industry operating in 6 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development o...
  • 18 Days Ago

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Director of Student Services
  • Quakertown Community School District
  • Quakertown, PA FULL_TIME
  • Position: Director of Student ServicesReports to: Assistant SuperintendentSalary: $165,000 to $175,000Date: January 11, 2024SUMMARY: The Director of Student Services will be responsible for supporting...
  • 18 Days Ago

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Social Services Director
  • People Powered
  • Easton, PA FULL_TIME
  • The Gardens for Memory Care at Easton s seeking a Social Services Director for our skilled nursing facility in Easton, PA. The Social Services Director is responsible for acting as a liaison and repre...
  • 23 Days Ago

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Assistant Director of Dining Services
  • Compass Group Careers
  • Quakertown, PA FULL_TIME
  • Compass Community Living Pay Grade: 11 Salary: $62000 - $65000Other Forms of Compensation: Merit increases yearly With people as our core and a deep commitment to exceptional hospitality, CCL Hospital...
  • 11 Days Ago

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Assistant Director of Dining Services
  • Compass Group
  • Quakertown, PA FULL_TIME
  • Compass Community Living Pay Grade: 11 Salary: $62000 - $65000Other Forms of Compensation: Merit increases yearly With people as our core and a deep commitment to exceptional hospitality, CCL Hospital...
  • 11 Days Ago

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0 Reimbursement Services Director jobs found in Allentown, PA area

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Associate Director, Study Management
  • CSL Behring
  • King of Prussia, PA
  • CSL Behring is a global biotechnology leader, guided by a promise to save and improve lives. Millions of people around t...
  • 4/27/2024 12:00:00 AM

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Director, Strategic Accounts
  • Johnson Controls International
  • Horsham, PA
  • Build your best future with the Johnson Controls team. As a global leader in smart, healthy and sustainable buildings, o...
  • 4/26/2024 12:00:00 AM

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Director of Quality
  • Avoca Search
  • Allentown, PA
  • Avoca Search has partnered with Lehigh Valley Heart Institute in their search for a Director of Quality. This is an exce...
  • 4/26/2024 12:00:00 AM

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Executive Director
  • Five Star Senior Living
  • Whitehall, PA
  • Key Responsibilities The Opportunity We are actively seeking an Executive Director to add to our team. The Executive Dir...
  • 4/23/2024 12:00:00 AM

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Operations Director
  • Chick-fil-A
  • Wyncote, PA
  • Thank you for your interest at a great career opportunity with Chick-fil-A. Here, you are taking the first step towards ...
  • 4/22/2024 12:00:00 AM

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Catering Director
  • Aramark
  • Reading, PA
  • About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our ...
  • 4/16/2024 12:00:00 AM

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Director, Clinical Portfolio Execution
  • CSL Behring
  • King of Prussia, PA
  • Job Description CSL Behring is a global biotechnology leader, guided by a promise to save and improve lives. Millions of...
  • 4/5/2024 12:00:00 AM

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Senior Director, Immunology TA
  • CSL Behring
  • King of Prussia, PA
  • CSL Behring is a global biotechnology leader, guided by a promise to save and improve lives. Millions of people around t...
  • 3/28/2024 12:00:00 AM

Allentown (Pennsylvania Dutch: Allenschteddel) is a city located in Lehigh County, Pennsylvania, United States. It is Pennsylvania's third most populous city and the 231st largest city in the United States. As of the 2010 census, the city had a total population of 118,032 and is currently the fastest growing city in all of Pennsylvania. It is the largest city in the metropolitan area known as the Lehigh Valley, which had a population of 821,623 residents as of 2010[update]. Allentown constitutes a portion of the New York City Combined Statistical Area and is the county seat of Lehigh County. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$151,829 to $216,208
Allentown, Pennsylvania area prices
were up 1.5% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020