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)
Principal Responsibilities:
CLINICAL
• Ensures the timely preparation and delivery of nutritious and attractive meals and supplements to all residents according to physician’s order and in compliance with Federal, State and Company requirements.
• Maintains a safe and sanitary working environment.
• Ensures that meals are served according to expressed resident preferences.
• Implements and revises menus to meet resident needs.
• Interacts effectively with other resident services according to total Care Plan approach.
ADMINISTRATIVE
• Maintains all records and documentation according to Federal, State and Company requirements.
• Maintains inventory of food and supplies to meet resident needs and according to planned menus.
• Participates in assigned meetings and in-services.
• Operates department according to budget.
• Ensures exchange of information necessary with all departments as necessary for quality resident care.
SUPERVISORY
• Meets department work goals through assignment of staff.
• Monitors staff performance through coaching, praises and recognizes effective performance or takes
direct corrective action after coaching as needed.
• Evaluates quality and quantity of services accomplished by staff.
QUALIFICATIONS
• Good written and verbal communication skills in English for business necessity.
• Strong supervisory skills
• Graduate (or enrolled) of State approved course or equivalent in food service. Must be a Certified Dietary Manager.
• City Health Certificate as required by local government.
• One year experience in healthcare related food service preferred
CONSUMER SERVICE
• Presents professional image to consumers through dress, behavior and speech.
• Adheres to company standards for resolving consumer concerns.
• Ensures that all consumer/resident rights are protected.
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