Reimbursement Services Director jobs in Fort Smith, AR

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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Remote Medical Insurance Reimbursement Specialist - Managed Care
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • This is a remote position. This is for the Managed Care team.

    The working hours are Monday-Friday, 8:00am -4:30pm, EST or CST.

    Summary: The Insurance Reimbursement Specialist, under the direction of Accounts Receivable Manager, ensures claims submitted to responsible entities are received, processed, and resolved in a timely manner. This position’s goals are met through professional communication, confidentiality and adherence to HIPAA guidelines, and a working knowledge of CMS/other payer guidelines.

    Essential Duties and Responsibilities: (List in order of importance or percentage of time spent on the particular responsibility. High to Low)

    • Uses various methods (phone, web, fax, e-mail) of contacting insurance payers and/or responsible entities to obtain claim status on submitted and unresolved claims. (40%)
    • Research patient accounts to ensure account integrity, using all available resources and tools (i.e., payer websites, contracts, and internal references). Use critical thinking skills to resolve account denials and payer barriers. (25%)
    • Take appropriate actions toward account resolution and appropriate balance. This may include actions such as facilitating interdepartmental communication, posting adjustment requests, and providing requested information to insurance payers and/or responsible entities. (20%)
    • Utilize internal computer systems and applications to thoroughly and professionally document all actions taken to reach resolution on an account. (10%)
    • Communicate daily with management about payer trends identified. (5%)

    Qualifications:

    Required Education: High school diploma or equivalent

    Required Experience: 1 year of experience in healthcare revenue cycle or business office.

    Required License/Registration/Certification: None

    Reasoning Ability:

    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Use reasoning to meet and maintain department and personal benchmarks.

    Computer Skills:

    To perform this job successfully, an individual should have knowledge of Word Processing software, spreadsheet software and database software.


    Physical Demands:

    In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

    The Employee is required to read, review, prepare and analyze written data and figures, using a pc or similar and should possess visual acuity.

    The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.

    The Employee is not substantially exposed to adverse environmental conditions and therefore job functions are typically performed under conditions such as those found in general office or administrative work.

    Education

    Required
    • High School or better
  • Just Posted

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Remote Medical Insurance Reimbursement Specialist - Governmental
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 14 Days Ago

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Remote Medical Insurance Reimbursement Specialist - Managed Medicare
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 1 Month Ago

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Director Clinical Services
  • AFMC
  • Fort Smith, AR FULL_TIME
  • Job Description: SCOPE OF POSITION: Responsible for the efficient and effective development, production, and management of all aspects of AFMC’s clinical case review in Medicare, Medicaid, and private...
  • 10 Days Ago

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Director Student Services
  • Mountainburg School District
  • Mountainburg, AR FULL_TIME
  • Applications accepted for a Director of Student Services/Special Education Supervisor for 24-25 Mountainburg Public Schools is the Place to Make a Positive Difference. We are seeking creative, passion...
  • 27 Days Ago

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Director - Laboratory Services; Full Time
  • Mercy
  • Fort Smith, AR FULL_TIME
  • We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
  • 10 Days Ago

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0 Reimbursement Services Director jobs found in Fort Smith, AR area

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B2B Sales Professional / Field Director Trainee
  • Infinity Business Group
  • Fort Smith, AR
  • Job Description Job Description The mission of Infinity Business Group is to take our Success and turn it into Significa...
  • 4/24/2024 12:00:00 AM

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Director of Quality Management
  • Select Specialty Hospital - Ft. Smith
  • Fort Smith, AR
  • Overview: Critical Illness Recovery Hospital Director of Quality Management Now Offering $10,000 Sign-On Bonus Salary Ra...
  • 4/24/2024 12:00:00 AM

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Operations Manager
  • Simmons Prepared Foods
  • Van Buren, AR
  • Purpose of the Position Plans, directs and coordinates the work activities and resources necessary for manufacturing pro...
  • 4/24/2024 12:00:00 AM

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MRI Technologist, PRN
  • Hiring Now!
  • Fort Smith, AR
  • We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and ex...
  • 4/24/2024 12:00:00 AM

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Travel Physical Therapist-Wisconsin
  • Ati Physical Therapy
  • Fort Smith, AR
  • Overview:Explore ATI (Passport and Launch) are travelprograms for physical therapists that offers short term and long te...
  • 4/24/2024 12:00:00 AM

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Operations Manager
  • Simmons Foods
  • Van Buren, AR
  • Purpose of the Position Plans, directs and coordinates the work activities and resources necessary for manufacturing pro...
  • 4/22/2024 12:00:00 AM

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Caregiver - Weekly Pay
  • LHC New
  • Van Buren, AR
  • Summary We are hiring Caregivers/HHAs/PCAs to work one-on-one with our in-home patients in the Van Buren, AR area. Loyal...
  • 4/21/2024 12:00:00 AM

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Caregiver - Weekly Pay
  • LHC Group
  • Van Buren, AR
  • Summary We are hiring Caregivers/HHAs/PCAs to work one-on-one with our in-home patients in the Van Buren, AR area. * Loy...
  • 4/20/2024 12:00:00 AM

Fort Smith is the second-largest city in Arkansas and one of the two county seats of Sebastian County. As of the 2010 Census, the population was 86,209. With an estimated population of 88,037 in 2017, it is the principal city of the Fort Smith, Arkansas-Oklahoma Metropolitan Statistical Area, a region of 298,592 residents that encompasses the Arkansas counties of Crawford, Franklin, and Sebastian, and the Oklahoma counties of Le Flore and Sequoyah. Fort Smith has a sister city relationship with Cisterna, Italy, site of the World War II Battle of Cisterna, fought by United States Army Rangers c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$131,495 to $187,251
Fort Smith, Arkansas 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