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)
```Duties:```
- Oversee the daily operations of the facility, ensuring the highest level of care and service for residents
- Develop and implement policies and procedures to maintain compliance with regulatory standards
- Manage and supervise staff, providing guidance, training, and support as needed
- Coordinate resident care plans and ensure appropriate services are provided
- Monitor and evaluate the quality of care and services provided to residents
- Collaborate with healthcare professionals to ensure comprehensive care for residents
- Maintain accurate records and documentation related to resident care and facility operations
- Manage budgets and financial resources effectively
```Qualifications:```
- Four (4) year degree in Business Administration and/or Human Services with at least one (1) year of experience in Human Services.
A demonstrated commitment to services for people with disabilities and special needs.
Managerial experience.
Must pass criminial background check
Must have a vaild SC Driver's License with good driving record and must be bondable .
- Strong knowledge of dementia care, medication administration, and working with people with developmental disabilities
- Familiarity with resident rights and regulatory requirements for assisted living facilities
- Excellent leadership and supervisory skills, with the ability to motivate and inspire a team
- Strong organizational skills, with the ability to prioritize tasks and manage multiple responsibilities
- Financial acumen to effectively manage budgets and resources
- Excellent communication skills, both verbal and written
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Job Type: Full-time
Pay: $36,301.73 - $43,718.21 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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