Reimbursement Services Director jobs in Burlington, VT

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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Associate Director - Community Developmental Services
  • Washington County Mental Health Services
  • Barre, VT FULL_TIME
  • POSITION: Associate Director

    DEPARTMENT: Community Developmental Services

    RESPONSIBLE TO: Assistant Director Community Developmental Services

    SUMMARY OF POSITION:

    CDS Associate Director is responsible for providing supervision and support to personnel as well as ensuring the fiscal and clinical integrity of the program. In this managerial role, the Associate Director will be under the direct supervision and mentorship of the Assistant CDS Program Director, the position also involves collaborating and working closely with CDS and WCMHS administrators/personnel, and VT State Agencies.

    Skills: The successful applicant must be familiar the Vermont Disabilities System, Medicaid Waivers, case management, the provision of community based day services, supported employment, and transition services, Self-determination and Recovery models of community based services, and have managerial and supervisory experience.

    SPECIFIC DUTIES AND RESPONSIBILITIES:

    · Supervise and support assigned Coordinators and staff in their duties.

    · Supervise and direct assigned clinical support staff in their duties and priority of case assignments.

    · Work with Director, Assistant Director & Intake Coordinator in the assignment of new individuals to Community Services Case Manager.

    · Communicate and collaborate within programs.

    · Oversee and ensure quality assurance and technical compliance as mandated by Division of Developmental Services and the Developmental Disabilities Act.

    · Assure adherence to all Washington County Mental Health Services, policies and procedures.

    · Provide coordination and aid in emergency situations as appropriate. On-call responsibility as determined by Crisis Intervention Team (Administrator on call).

    · Ensure that Medicaid Waiver Eligibility Forms and Community Eligibility and Waiver Adjustment forms are completed in a timely manner and reflect accurately service provision and necessary financial supports.

    · In collaboration with Assistant and Program Director, approve programmatic expenses including staff expenses, trainings, payment request vouchers and emergency respite.

    · Mandated reporter in any incident of suspected or alleged abuse or neglect of an individual or child served by Community Developmental Services as well as elderly persons.

    · Scheduled Administrative on-call for CDS program during the week and weekends on a rotational basis. This includes responding to pager calls and shared oversight of Crisis Team response. May require follow up with WCMHS Administration and/or Department of Aging and Disability as needed.

    · Participate in appropriate agency, community and statewide committees including the Leadership Team (CDS) and related CDS committees.

    · Monitor and review incident reports with Community Services Case Managers.

    · Attend trainings, in-services and / or conferences to assure professional growth as approved by their supervisor.

    · Collaborate with HR around any personnel issues in a timely manner.

    · Have available a safe and reliable vehicle. Possess an excellent driving record and valid driver’s license to transport consumers if needed and attend any necessary meetings.

    · Oversee the interview process of staff under their direction and supervision making final recommendations to the Division Director or designee.

    · Participate in regularly scheduled staff meetings.

    · Work with the Utilization and Technical Compliance in assuring that all waivers and services are compiled for necessary audits.

    · Ability to become a UEMR Super-User to support & train staff.

    · Additional duties as required or assigned by supervisor.

    QUALIFICATIONS:

    Master’s Degree preferred in related field or QDDP with five years managerial / supervisory experience. The preferred candidate will possess strong interpersonal and communication skills, demonstrate flexibility, have knowledge of DS Medicaid rules and regulations, have knowledge of the DD Act of 1996, knowledge of Facilitated Communication and have strong computer skills. Valid driver’s license, excellent driving record, and a safe, insured vehicle required.

    WHAT WE OFFER:

    · Competitive salary

    · Generous medical, dental, vision, life and accident insurance – WCMHS covers 82.5 – 92% of premium costs.

    · Matching 403(b) – match begins at 4.25% and increases based on years of service.

    · Employee assistance plan.

    · Generous sick and vacation accruals. Full- and part-time regular positions receive 12 days’ vacation and 12 days sick time annually - prorated based on standard hours.

    · 12.5 paid holidays annually.

    · Mileage reimbursement for agency related travel.

    · Fun and engaging environment and the ability to give back to the local community.

    EOE

    For information on the above position contact.

    WCMHS, Personnel, PO Box 647, Montpelier, VT 05601-0647 (802)-229-0591

    Email: recruitment@wcmhs.org, Fax: 223-8623

  • 1 Month Ago

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Reimbursement Specialist
  • Clara Martin Center
  • Randolph, VT FULL_TIME
  • We are currently seeking an Eligibility & Reimbursement Specialist to join our Billing team in Randolph. This position requires a high level of accuracy and attention to detail in addition to being ab...
  • 1 Month Ago

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Director of Perioperative Services
  • Clinical Management Consultants
  • Rutland, VT FULL_TIME
  • An award winning health system in Vermont is looking for a skilled Operating Room Director! Located in central Vermont, this medical center serves as a leading healthcare institution in the region. It...
  • 17 Days Ago

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Surgical Services Nursing Director
  • Clinical Management Consultants
  • Essex, VT FULL_TIME
  • An exciting opportunity for a Surgical Services Nursing Director is available in Northern Vermont! An award winning facility is looking for a dynamic Surgical Services Nursing Director to lead their S...
  • 17 Days Ago

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Social Services Director
  • Berlin Health Rehab Center
  • Barre, VT FULL_TIME
  • Genesis is the nation's leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is d...
  • 19 Days Ago

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Surgical Services Nursing Director
  • Clinical Management Consultants
  • Colchester, VT FULL_TIME
  • An exciting opportunity for a Surgical Services Nursing Director is available in Northern Vermont! An award winning facility is looking for a dynamic Surgical Services Nursing Director to lead their S...
  • Just Posted

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0 Reimbursement Services Director jobs found in Burlington, VT area

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Director of Water Distribution
  • Champlain Water District
  • South Burlington, VT
  • Overview The Director of Distribution is the chief administrative and operating officer of any given local municipal wat...
  • 4/26/2024 12:00:00 AM

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Director of Finance And Administration
  • Humane Society Of Chittenden County
  • South Burlington, VT
  • POSITION SUMMARY The Director of Finance & Administration is a member of the senior management team responsible for the ...
  • 4/26/2024 12:00:00 AM

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Director of Business Development
  • Twincraft Skincare
  • Winooski, VT
  • Twincraft Skincare is a family-owned collaborative manufacturer of an array of skincare and body care products including...
  • 4/26/2024 12:00:00 AM

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Director of Water Distribution
  • Champlain Water District
  • South Burlington, VT
  • Overview The Director of Distribution is the chief administrative and operating officer of any given local municipal wat...
  • 4/24/2024 12:00:00 AM

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Director II Medicine
  • The University of Vermont Health Network
  • Burlington, VT
  • We are the heart and science of medicine. We are UVM Medical Center. The Director of Medicine oversees the following sub...
  • 4/23/2024 12:00:00 AM

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Executive Director
  • Confidential
  • Montpelier, VT
  • Executive DirectorAbout the CompanyProminent environmental organizationIndustryNon-Profit Organization ManagementTypeNon...
  • 4/23/2024 12:00:00 AM

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Sales Director
  • Onlogic Inc.
  • South Burlington, VT
  • As the Director of the outside Sales Team, you are a highly motivated leader with a passion for sales, technology, solvi...
  • 4/23/2024 12:00:00 AM

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Director of Finance And Administration
  • Humane Society of Chittenden County
  • South Burlington, VT
  • POSITION SUMMARY The Director of Finance & Administration is a member of the senior management team responsible for the ...
  • 4/22/2024 12:00:00 AM

Burlington is the most populous city in the U.S. state of Vermont and the seat of Chittenden County. It is located 45 miles (72 km) south of the Canada–United States border and 94 miles (151 km) south of Montreal. The city's population was 42,452 according to a 2015 U.S. census estimate. It is the least populous municipality in the United States to be the most populous incorporated area in a state. A regional college town, Burlington is home to the University of Vermont (UVM) and Champlain College, a small private college. Vermont's largest hospital, the UVM Medical Center, is located within t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$150,172 to $213,848
Burlington, Vermont area prices
were up 1.6% 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