Reimbursement Services Director jobs in High Point, NC

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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Center Director
  • Daymark Recovery Services Inc
  • High Point, NC FULL_TIME
  • 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:

    • Medical, Dental and Vision Insurance
    • Flex Spending Account
    • Health Spending Account
    • Company-Paid Life Insurance
    • Short Term Disability
    • 401(k)
    • Paid Holidays
    • Paid Vacation and Sick Leave
    • Employee Assistant Program
    • Referral Bonus Opportunities
    • Extensive Internal Training Program

    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:

    • Ensures strict compliance with all professional standards, IPRS/NC State, Federal Medicaid and Medicare regulations, agency policies and procedures. Maintains care and compliance with all rules for the facility.
    • Monitors all expenses and ensures that expenditures are within proposed budget for the center. Assist with development of center budget. Provides clinicians with assistance on productivity standards, both monitoring and status to standards. Explores and develops new services and revenue streams.
    • Provides or arranges for clinical direction or supervision to all members of the treatment teams. Provides or arranges for in-service training as appropriate, deliver clinical education programs, including best practices training to staff, also participates in agency-wide training programs/in-services.
    • Assures all paperwork, billing tickets and documentation is completed in a timely manner according to established guidelines. Works with support supervisor and medical records to ensure that all regulatory standards are followed.
    • Participates as a member of agency and community committees, councils and attends various meetings.
    • Participates in the selection and hiring of therapists and other personnel actions as needed.
    • Serve as the liaison between the Regional Operations Director and the local county service center.
    • All other duties as assigned by supervisor.

    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.

  • 3 Days Ago

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Funeral Director - Embalmer
  • Carriage Services
  • High Point, NC FULL_TIME
  • Funeral Director - Embalmer At Carriage Services, we are united by our purpose of creating premier experiences through innovation, empowered partnership, and elevated service. As a member of our team,...
  • 20 Days Ago

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Regional Clinical Reimbursement Lead
  • Genesis HealthCare
  • High Point, NC FULL_TIME
  • Within a defined geographic area, the Clinical Reimbursement Lead is responsible for modeling the Genesis MDS process and capability standards while working up to 75% on-site at centers throughout Nor...
  • 19 Days Ago

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Clinical Reimbursement Administrative Assistant
  • Meridian Center
  • High Point, NC FULL_TIME
  • Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is de...
  • 22 Days Ago

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Director
  • North Ridge Church
  • Asheboro, NC PART_TIME
  • We are a community of believers learning and living the way of Jesus together. Our primary mission as a church body is to be with Jesus, become like Jesus, and do what Jesus did. Job Summary: As the R...
  • Just Posted

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Environmental Services Housekeeping - 1148
  • GDI Services Inc US
  • Jamestown, NC FULL_TIME
  • GDI Services, Inc., one of the leading providers of quality facility management services for manufacturing & industrial, distribution, healthcare, commercial, and educational facilities is in need of ...
  • 20 Days Ago

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0 Reimbursement Services Director jobs found in High Point, NC area

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Technical Director - AV Events
  • Hiresparks Av Recruiting
  • Jamestown, NC
  • HIRING IMMEDIATELY!!! Technical Director - AV Events Location: Jamestown, NC Are you an experienced Technical Director w...
  • 4/26/2024 12:00:00 AM

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Sales Director
  • Kisco Senior Living, LLC
  • Greensboro, NC
  • Job Description The Sales Director is responsible for the entire sales process that reinforces the community's brand rep...
  • 4/24/2024 12:00:00 AM

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Technical Director - AV Events
  • HireSparks AV Recruiting
  • Jamestown, NC
  • HIRING IMMEDIATELY!!! Technical Director - AV Events Location: Jamestown, NC Are you an experienced Technical Director w...
  • 4/23/2024 12:00:00 AM

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Senior RF Director
  • IC Resources
  • Greensboro, NC
  • We are working with an industry leading Semiconductor components company. Seeking a Senior RF Director to join their est...
  • 4/22/2024 12:00:00 AM

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Director of Quality
  • ALAC HR Solutions
  • Greensboro, NC
  • Our partner seeks a Lead Director of Quality Control to oversee the implementation of quality strategies and the operati...
  • 4/22/2024 12:00:00 AM

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Director, IT - Applications
  • Riverside Furniture Corporation
  • High Point, NC
  • Are you ready to join a growing, dynamic team at the inception of a digital transformation? Our Director, IT - Applicati...
  • 4/22/2024 12:00:00 AM

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Director of Fundraising/Development
  • ARBOR ACRES UNITED METHODIST RETIREMENT COMMUNITY INC
  • Winston Salem, NC
  • Job Details Job Location Arbor Acres Winston Salem - Winston Salem, NC Position Type Full Time Education Level Bachelor'...
  • 4/22/2024 12:00:00 AM

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Executive Culinary and Hospitality Director
  • Aramark
  • Greensboro, NC
  • Job Description The Executive Culinary and Hospitality Director is a management position responsible for developing and ...
  • 4/10/2024 12:00:00 AM

High Point is a city located in the Piedmont Triad region of the state of North Carolina. Most of the city is located in Guilford County, with portions spilling into neighboring Randolph, Davidson, and Forsyth counties. High Point is North Carolina's only city that extends into four counties. As of the 2010 census the city had a total population of 104,371, with an estimated population of 108,629 in 2014. High Point is currently the ninth-largest municipality in North Carolina, and the 259th largest city in America. High Point is known for its furniture, textiles, and bus manufacturing. The ci...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$142,942 to $203,552
High Point, North Carolina area prices
were up 1.5% 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