Reimbursement Services Director jobs in Corpus Christi, TX

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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Director of Social Services
  • Lone Star Ranch Rehabilitation and Healthcare...
  • Kingsville, TX FULL_TIME
  • Sign on offered for FT, qualified applicants: $2500

    Must be a licensed Social Worker or have a set date for licensure .

    Rate: $27-30/hr. depending one experience.

    Nexion affiliates operate 56 skilled nursing and rehabilitation as well as assisted living facilities in Louisiana, Mississippi and Texas. Each of our affiliate skilled nursing and assisted living campuses offers a home-like setting influenced by their own unique regional cultures. Our commitment to excellence is reflected in our positive clinical outcomes, resident and family member testimonials, satisfaction reports and AHCA Quality Awards.

    Function:
    The Director of Social Services assumes administrative authority and accountability for the provision of medically related social services that assist the residents to attain or maintain the highest practicable physical, mental and psycho-social well-being. Services provided meet professional standards of social work practice, consistent with state and federal laws and regulations.

    Supervisory Responsibilities:
    The Director of Social Services supervises the Social Workers and guides facility staff in matters of residency advocacy, protection and promotion of resident’s rights. In collaboration with Administrator, allocates resources in an efficient and economic manner to provided medically related social services.

    Minimum Qualifications:
    • Working knowledge of personal computer and software applications used in job functions, (word processing, graphics, databases, spreadsheets, etc.)
    • Ability to supervise, instruct and motivate others.
    • Strong organizational and analytical skills; oral and written communication skills.
    • Demonstrated ability in independent functioning and strong leadership.
    • Working knowledge and ability to apply professional standards of social work practice in job situations.
    • Current knowledge of state and federal laws and regulations that apply to practice of social work in long term care.
    Education and/or Experience: Minimum of Bachelor’s Degree in Social Work or in a human services field (including but not limited to Sociology, Special Education Rehabilitation Counseling, Psychology). One year supervised social work experience working directly with individuals in a health care setting.

    Certificates, Licenses, Registrations: Current Social Work license in the state.

    Responsibilities:
    • As part of the admission process, meet with the Resident and family to review policies on advanced directives, Resident rights and discrimination.
    • Conduct and document a social services evaluation, including identification of Resident problems/needs.
    • Provide/arrange for social work services as indicate by Resident/family needs.
    • Assist Residents, as needed, with financial planning.
    • Keeps the Resident’s family informed of Resident problems, personal needs, transfers and changes of level assignment.
    • Maintains a current list of community resources to facilitate referrals.
    • Working knowledge and ability to apply professional standards of social work practice in job situations. Able to establish criteria to assure that services provided meet established standards of quality.
    • Demonstrate satisfactory level of interpersonal skills to interact with residents, families, community and interdisciplinary staff.
    • Demonstrate assessment skills sufficient to evaluate residents’ behavior, to collect data to evaluate psycho- social needs, risk factors for psycho- social deterioration and residents’ responses to interventions. Able to interpret and explain resident behavior to staff in way that fosters understanding, facilitates treatment and respect for resident rights and minimizes use of chemical and physical restraints.
    • Able to implement social service interventions that achieve treatment goals, address resident needs, link social supports, physical care and physical environment to enhance quality of life.
    • Able to express self adequately in written and/or oral communication and to communicate effectively in an interdisciplinary care setting with residents, families, staff members.
    • Carries out all duties in accord with the facility mission and philosophy.
    • Demonstrates knowledge of and respect for the rights, dignity and individuality of each resident in all interactions.
    • Appreciates the importance of maintaining confidentiality of resident and facility information.
    • Demonstrates honesty and integrity at all times in the care and use of resident and facility property.
    • Knowledge of emergency and disaster procedures of facility. Able to locate nearest exit, to understand and respond to written or oral instructions in case of emergency.
    • Sufficient mobility, and strength to move freely through the building, to assure resident safety at all times and to assist, transfer or otherwise move residents of facility out of danger in case of emergency.
    • Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies and procedures.
    • Ability to comply with facility policies and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials.
    • Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time.
    • Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.
    • Ensures that the quality and appropriateness of Resident care meets or exceeds company and industry standards and ensures that all services are in compliance with state and federal legal, regulatory, accreditation and reimbursement guidelines.
    • Maintain effective relationships and open communication with Residents, families, staff.
    • Access continuing education opportunities appropriate to responsibilities.
    • Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and processes.
    • All other duties, as assigned.
    Compensation and Benefits Package:
    We offer a competitive compensation and benefits package to include voluntary Medical, Dental, Vision, ADD Benefits, LT/ST Disability, Life Insurance, Flex Spending Account and 401K
    EOE M/F/D/V
  • 1 Month Ago

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Director of Social Services
  • Lone Star Ranch Rehabilitation and Healthcare Center
  • Kingsville, TX FULL_TIME
  • Sign on offered for FT, qualified applicants: $2500 Must be a licensed Social Worker or have a set date for licensure . Rate: $27-30/hr. depending one experience. Nexion affiliates operate 56 skilled ...
  • 1 Month Ago

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Associate Director for Educational Services
  • ESC2
  • Corpus Christi, TX FULL_TIME
  • The Associate Director for Educational Services will direct and manage the assigned center and perform other administrative duties as assigned by the Executive Director within the framework of the phi...
  • 19 Days Ago

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Director of Clinical Services
  • Oceans Healthcare
  • Corpus Christi, TX FULL_TIME
  • A Partnership with CHRISTUS Spohn Health System We are passionate about helping individuals manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, ...
  • 1 Month Ago

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Director Surgical Services
  • Corpus Christi Medical Center
  • Corpus Christi, TX FULL_TIME
  • This position is incentive eligible. Introduction Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about ...
  • 2 Months Ago

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Assistant Director, Tutoring and Learning Services
  • Texas A&M University Corpus Christi
  • Corpus Christi, TX FULL_TIME
  • Department Center For Academic Student Achievement Proposed Minimum Salary Commensurate Job Location Corpus Christi, Texas Job Type Staff Job Description Description: The Assistant Director of Tutorin...
  • 1 Month Ago

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0 Reimbursement Services Director jobs found in Corpus Christi, TX area

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Director of Clinical Education
  • Touchstone Communities
  • Portland, TX
  • COASTAL PALMS NURSING AND REHABILITATION Director of Clinical Education Must have current and valid Texas RN nursing lic...
  • 5/14/2024 12:00:00 AM

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Executive Director
  • Habitat for Humanity
  • Corpus Christi, TX
  • Posting Description Habitat for Humanity Corpus Christi Chapter is a vital organization dedicated to bringing people tog...
  • 5/14/2024 12:00:00 AM

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Executive Director - Hospice
  • LHC New
  • Corpus Christi, TX
  • Summary We are hiring for an Executive Director with Hospice experience. At Christus Hospice in Corpus Christi, TX, a pa...
  • 5/14/2024 12:00:00 AM

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Director of Physical Therapy
  • Concentra
  • Corpus Christi, TX
  • ** SIGN ON BONUS AVAILABLE** Are you ready to take your career to new heights? At Concentra, you will be a vital member ...
  • 5/14/2024 12:00:00 AM

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Director of Maintenance
  • CCMS LLC
  • Port Aransas, TX
  • Job Description Job Description Condominium Consulting Management Services is currently hiring a director of maintenance...
  • 5/13/2024 12:00:00 AM

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Activity Director
  • Touchstone Communities
  • Corpus Christi, TX
  • River Ridge Nursing and Rehabilitation - Corpus Christi, Texas Certified Wellness/Activity Director * Current certificat...
  • 5/11/2024 12:00:00 AM

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Director of Maintenance
  • CCMS LLC
  • Corpus Christi, TX
  • Job Description Job Description Condominium Consulting Management Services is currently hiring a director of maintenance...
  • 5/10/2024 12:00:00 AM

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Funeral Director
  • Legacy Funeral Group
  • Aransas Pass, TX
  • **RELOCATION ASSISTANCE AVAILABLE** Seeking a licensed Funeral Director and lead Arranger who is skilled in creating per...
  • 5/10/2024 12:00:00 AM

Corpus Christi (/ˌkɔːrpəs ˈkrɪsti/), colloquially Corpus (Latin: Body of Christ), is a coastal city in the South Texas region of the U.S. state of Texas. The county seat of Nueces County, it also extends into Aransas, Kleberg, and San Patricio Counties. It is 130 miles southeast of San Antonio. Its political boundaries encompass Nueces Bay and Corpus Christi Bay. Its zoned boundaries include small land parcels or water inlets of three neighboring counties. The city's population was estimated to be 320,434 in 2014, making it the eighth-most populous city in Texas. The Corpus Christi metropolita...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$141,753 to $201,863
Corpus Christi, Texas area prices
were up 1.2% 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