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)
Position May Qualify for Hiring Bonus if Licensed (Benefit Eligible Only)
Company Mission/ statement:
Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of culturally sensitive mental health and substance abuse services.
Comprehensive Benefits Package:
Pay Scale: 70k
Summary:
This position is responsible for the clinical services and programming within at least one county that DAYMARK Recovery Services has a service location. This position reports directly to the Area Clinical Director. This position is responsible for all local clinical operations and compliance will all applicable policies, procedures, regulations and laws. Offers on-going mentoring, coaching and training to clinical staff. Assures adequate staffing at all times to meet service demand. Works closely with local Administrative Services Manager. This position is the community liaison between DAYMARK Recovery Services and the community at large and is often the spokesperson for DAYMARK Recovery Services to the community.
Essential Duties and Responsibilities:
Special Attributes: Strong psychosocial, clinical assessment skills. Minimal supervision regarding use of time, able to prioritize work assignments. Must possess strong clinical skills, a vast knowledge base of mental health and substance abuse disorders and vigor to continue the learning process. Ability to communicate effectively with professionals and clients/families. Ability to make sound decisions in emergency situations. If the Center Director does not have a clinical licensure, they must have a good understanding of the clinical processes and show competency that they know when to seek direction from the medical or clinical director when needed for clinical issues such as assessments, mental health or substance use emergency situations
Supervisory Responsibilities: Provide on-site supervision to all Mental Health and Substance Abuse Services staff.
Education and/or Experience: Minimum of a Master’s degree in Psychology, Social Work, Counseling or relative field, from an accredited college or university. Three to five years of clinical practice experience. Non-clinical degrees will be considered with a minimum of 5-10 years work experience in the mental health substance abuse environment.
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