Reimbursement Services Director jobs in Lansing, MI

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)

Recently Added Reimbursement Services Director jobs

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Regional Director Clinical Reimbursement (RN)
  • MediLodge
  • Lansing, MI FULL_TIME


  • Are you a seasoned RN MDS Coordinator or Regional RAI with Multi-Facility Experience?

    MediLodge is looking for a Regional Director of Clinical Reimbursement Registered Nurse (RN) for a critical support position for 5-7 Skilled Nursing and Rehabilitation centers in our Michigan Central region. This position is responsible for motivating, inspiring, leading and teaching new employees and guiding tenured nurses on the resident assessment instrument (RAI) process.

    What Benefits Do We Offer?
    At MediLodge, we understand that our employees work best when they are healthy, happy, and excited about the here and now, as well as the future. For that reason, we offer a wide range of benefits with your well-being in mind, including:

    • Strong Corporate Support When a Team Approach is Needed
    • Competitive Wages
    • Excellent Career Advancement Opportunities That Meet Your Goals
    • Affordable Medical, Dental, and Vision Benefits for You & Your Family
    • Employee Benefits Concierge – to Guide You in Maximizing Your Benefits
    • Choose From Three Pet Insurance Options for Your Furry Friend
    • Tuition Reimbursement
    • Student Loan Repayment Program
    • Company Paid Life Insurance
    • Paid Vacation Days with Rollover Option and Sick Time
    • 401k Retirement with Company Match
    • Health Savings Account (HSA) and Flexible Spending Account (FSA)
    • Unlimited Referral Bonuses and more!
    TEXT: REG MDS LAN to (833) 383-7654 to Apply
    Help shape the next generation of MDS Coordinators
    being a by joining our Regional Support Team!
    Apply Today! We Can’t Wait to Meet YOU!

    Summary:
    To provide support to the facility MDS Coordinators in the assigned region


    Qualifications:

    Education:

    • Must have nursing degree (or diploma) from accredited college – RN necessary

    Licenses/Certification:

    • Nursing License for the state(s) within the Region

    Experience:

    • Must have 1 year working with RAI process and PPS.


    Essential Functions:

    Provide support in MDS to include:

    • Software questions and trouble shooting
    • MDS scheduling
    • MDS and diagnosis Coding
    • CAA and Care Plan Questions
    • RUG and reimbursement related items
    • Medicare and Insurance related items
    • ADR and Medical chart reviews
    • On site MDS support and coverage for RNAC absences
    • MDS training for the facilities
    • Provide necessary MDS, RUG, and Medicare audits
    • Ensure MDS completions and validate submissions
    • Participate in Medicare certification and recertification process
    • Ensure adherence to PPS schedule and assessment tyoe
    • Ensure continuing education for the facilities
    • Follow-up on any necessary corrective actions.
    • Performs other duties as assigned

    Knowledge/Skills/Abilities:

    • Excellent verbal and written communication skills. Able to read, write, speak and understand the English language.
    • Proficient in Word, Excel and email.
    • Have good computer software skills.
    • Must be willing and able to travel extensively.
    • Ability to provide education to professional and non-professional staff.
    • Knowledgeable of nursing practices and procedures as well as laws, regulations and guidelines governing nursing functions in long-term care.

    Job Description

    • Excellent Resident Care Through Teamwork
    • Ability to plan, organizes, develop, implement and interpret programs, goals, objectives, policies and procedures of clinical services.
    • Ability to maintain confidentiality of all information

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Food Services Director / CDM
  • NexCare WellBridge Senior Living
  • Holt, MI FULL_TIME
  • Join the Holt Senior Care & Rehab Center team!: The Food Services Director oversees our culinary teams and strive to provide the best culinary experience and ensure satisfaction is a top priority. As ...
  • 7 Days Ago
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Director of Clinical Services
  • Centria Autism
  • Lansing, MI FULL_TIME
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiri...
  • 14 Days Ago
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Director of Implementation Services
  • BS&A
  • Lansing, MI FULL_TIME
  • Director of Implementation Services [Lansing, MI; Chicago, IL; or remote] We are looking for an experienced Director of Implementation Services to lead our rapidly growing team of Solution Consultants...
  • 23 Days Ago
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Regional Voter Registration Director
  • Shawmut Services
  • Lansing, MI FULL_TIME
  • About Revolution Field Strategies Revolution Field Strategies (RFS) is a full-service strategic planning, organizing, and grassroots mobilization firm that leads successful canvassing, voter registrat...
  • 11 Days Ago
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Billing and Reimbursement Clerk
  • Ingham County
  • Lansing, MI FULL_TIME
  • **Applications are accepted until there are sufficient numbers of qualified applications or qualified candidate has been identified. The position could possibly close at any time.*** Under the supervi...
  • Just Posted
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0 Reimbursement Services Director jobs found in Lansing, MI area

About Lansing, Michigan

Lansing /ˈlænsɪŋ/ is the capital of the U.S. state of Michigan. It is mostly in Ingham County, although portions of the city extend west into Eaton County and north into Clinton County. The 2010 Census placed the city's population at 114,297, making it the fifth largest city in Michigan. The population of its Metropolitan Statistical Area (MSA) was 464,036, while the even larger Combined Statistical Area (CSA) population, which includes Shiawassee County, was 534,684. It was named the new state capital of Michigan in 1847, ten years after Michigan became a state. The Lansing metropolitan area,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$145,804 to $207,628
Lansing, Michigan area prices
were up 1.3% from a year ago
View detail

What does a Reimbursement Services Director do?

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