Reimbursement Services Director jobs in Costa Mesa, CA

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 PATIENT CARE SERVICES - HOSPICE
  • CareCHOICES Hospice & Palliative Services
  • Irvine, CA FULL_TIME
  • CareCHOICES Hospice and Palliative Services, LLC is seeking a very dynamic and hospice experienced registered nurse Director of Patient Care Services for the clinical operations leadership of our hospice organization.

    To be considered for this important position with our experienced leadership team, the ideal candidate must have the following:

    A strong desire to provide outstanding hospice and specialty program patient care management with the ability and leadership skills to inspire an excellent team to do the same!

    4-5 years of progressive hospice leadership responsibility for directing regulatory compliance with Medicare and Department of Public Health for a hospice organization.

    Extensive experience with and compliance to the hospice Medicare Conditions of Participation required.

    Strong attention to detail, organization and the ability to collect, audit, review and analyze hospice data and indicators, monitor and track trends for IDG education.

    Exceptional computer skills with special advanced/expert level emphasis on MS Office and EXCEL for statistical data collection to ensure outstanding report generation capacity.

    Demonstrated success in working independently, utilizing high level critical thinking and analysis skills.

    Outstanding interpersonal, verbal and written communication skills, as well as group presentation experience.

    Exceptional ability to inspire excellence in all levels of hospice IDG staff through ongoing teaching, orientation and team building.

    Extensive experience with EMR (electronic medical record) since CareCHOICES utilizes MatrixCare computerized clinical point of care EMR.

    Experience with ADR and regulatory audit process.

    If you are a registered nurse with a heart for hospice clinical operations leadership and a passion for regulatory integrity and compliance, please submit your resume for consideration.

    This is a full time, in office position with extremely competitive compensation and generous paid time off. We offer a full compensation package that is commensurate with experience including benefits such as medical, dental, vision and life insurance, 401K with generous matching, and exceptional PTO, among other attractive benefit offerings.

    Please note that only qualified candidates will be contacted for an interview.

    Thank you for considering this opportunity with CareCHOICES.

    Job Type: Full-time

    Pay: $115,000.00 - $135,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Family leave
    • Health insurance
    • Life insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Healthcare setting:

    • Hospice

    Medical specialties:

    • Hospice & Palliative Medicine

    Schedule:

    • Monday to Friday
    • On call
    • Weekends as needed

    Ability to Relocate:

    • Irvine, CA 92606: Relocate before starting work (Required)

    Work Location: In person

  • 1 Month Ago

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Director of Nursing Services RN Registered Nurse - Orange
  • Rockport Healthcare Services
  • Orange, CA FULL_TIME
  • Director of Nursing Services RN Registered Nurse Position Description: Under the direction of the Administrator, the Director of Nursing Services RN Registered Nurse is responsible for the administrat...
  • 12 Days Ago

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Director - Training/Healthcare Services (6 month contract)
  • CARENATIONAL HEALTHCARE SERVICES, LLC
  • Orange, CA CONTRACTOR
  • Director - Healthcare Services / Training Anaheim, CA JOB SUMMARY: A Southern California company is seeking a highly motivated and experienced TEMP - Director II Clinical Operations - Training to join...
  • 5 Days Ago

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Resident Services Director
  • Pacifica Senior Living
  • Laguna Hills, CA FULL_TIME
  • We are looking to hire a Resident Services Director to join our team! This position will facilitate the successful operation of the Residential Care Department. The Resident Services Director supervis...
  • 7 Days Ago

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Valuation Services Director
  • Colliers International
  • Irvine, CA FULL_TIME
  • Make your next move an expert one.At Colliers it's not our success that sets us apart, it's how we achieve it. Our people are passionate, take ownership and always do what's right for our clients, peo...
  • 12 Days Ago

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Director Women's & Children's Services
  • Providence Health
  • Mission Viejo, CA FULL_TIME
  • Description THE ROLE Under the direction of the Chief Nursing Officer, provides multidisciplinary leadership and administrative authority for multiple patient care units and departments on a 24-hour b...
  • 12 Days Ago

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0 Reimbursement Services Director jobs found in Costa Mesa, CA area

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Director of Operations
  • House Of Sillage
  • Newport Beach, CA
  • Operations Director House of Sillage (HOS) is a luxury brand renowned for its exquisite fragrances and unparalleled comm...
  • 4/16/2024 12:00:00 AM

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Director, Entertainment
  • Cedar Fair
  • Buena Park, CA
  • Overview: This position oversees, directs and manages development, production, technical, administrative, and operationa...
  • 4/16/2024 12:00:00 AM

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Director of Operations
  • House of Sillage
  • Newport Beach, CA
  • Job Description Job Description Operations Director House of Sillage (HOS) is a luxury brand renowned for its exquisite ...
  • 4/15/2024 12:00:00 AM

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Programs Director
  • Terran Orbital
  • Irvine, CA
  • Description Summary Be more than just an employee number! Join Terran Orbital, a leader in innovation, manufacturing, an...
  • 4/15/2024 12:00:00 AM

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Director of Operations
  • Destination America (DMC)
  • Cypress, CA
  • ABOUT US We are driven by service through PASSION, PEOPLE & PURPOSE. A Family of Brands making travel matter for over 10...
  • 4/14/2024 12:00:00 AM

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Grants Director
  • National Healthcare & Housing Advisors
  • Santa Ana, CA
  • NHHA is seeking a experienced Grants Director, Director of Grants, Grants Officer, Grants Manager! National Healthcare &...
  • 4/12/2024 12:00:00 AM

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Executive Director
  • Ivy Living
  • Huntington Beach, CA
  • Executive Director Ivy Park at Huntington Beach is a premier senior living community situated on a beautifully landscape...
  • 4/12/2024 12:00:00 AM

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Activity Director
  • Sunrise Senior Living
  • Mission Viejo, CA
  • Overview "Sunrise is the best place that I've ever worked, simply because of the people. We provide quality care in an e...
  • 4/8/2024 12:00:00 AM

Costa Mesa (/ˌkoʊstə ˈmeɪsə/) is a city in Orange County, California. Since its incorporation in 1953, the city has grown from a semi-rural farming community of 16,840 to a primarily suburban and edge city with an economy based on retail, commerce, and light manufacturing. The population was 109,960 at the 2010 United States Census. Costa Mesa is located 37 miles (60 km) southeast of Los Angeles, California, 88 miles (142 km) north of San Diego, California and 425 miles (684 km) south of San Francisco, Costa Mesa encompasses a total of 16 square miles (41 km2) with its southernmost border only...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$166,590 to $237,228
Costa Mesa, California area prices
were up 3.0% 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