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)
Our skilled nursing facility is seaking a Social Services Director to join our team in the Gainesville area. The ideal candidate will be energetic, result-orientated team leader with superior interpersonal and communication skills to take charge of the Social Services Department.
Our facility offers:
Key Job Functions of the Social Services Director:
Manages department to assure assessments, discharges and psychological needs of residents are met.
Orient resident to long term care environment and facilitate adjust upon placement.
Timely and accurate completion and documentation of all required MDS for case load.
Understands the MDS process and accurately assesses, documents and provides interventions in the areas of hearing, speech, vision, cognitive patterns, mood, behavior and customary routines, discharge and communicates interventions to the care team.
Keeps in touch with and has professional relationships with vendors such as Hospice, Home Care, durable medical equipment (DME) companies.
Understand, comply and promote rules regarding all resident rights, promotes positive relationship with residents, visitors and regulators.
Responsible for the Medicaid process, completing MDS assessments, admission process etc.
Requirements of the Social Services Director:
Must have at least (1) one year Social Services experience in a Skilled Nursing Facility
Bachelor's degree in Social Work or other allied field, preferred.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing social services.
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