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)
Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance the well-being of all Oklahomans. We take that very seriously – because we care!
About this Position:
This position will be in Lawton, OK at Jim Taliaferro Community Mental Health Center (JTCMHC). The Individual selected for this position will be assigned responsibilities related to managing the billing/reimbursement process. This includes researching and reviewing claims and other information to identify possible third-party responsibilities and initiating appropriate action to recover funds paid for various medical expenses and other costs. This includes coordinating patient admissions to determine eligibility for benefits, maintaining enrollment with Medicaid, Medicare, and other third-party network providers, coordinating with payors, and ensuring compliance with federal and state laws, rules, and regulations. This position also completes billing cycles, updates patient accounts, and uses available resources to investigate claim situations and facilitate payments, gather support documentation to submit appeals and analyze various reports.
About the facility:
Jim Taliaferro Community Mental Health Center in Lawton, OK is a community-based center with a primary focus on mental health and substance treatment. The inpatient and outpatient services they provide include special groups and programs for adolescents, persons with co-occurring health and substance abuse disorders, seniors and older adults, women, men, and criminal justice groups.
Job Type / Salary
Full-time
Annual Salary is $41,000.00
Primary working hours: Monday -Friday, 8am-5pm
FLSA Status: Non-exempt
Minimum Qualifications and Experience:
Two years of technical experience which included the processing and/or payment of insurance claims of accounts receivable; or an equivalent combination of education and experience, substituting thirty semester hours of college for one year of required experience.
Benefit Highlights:
ODMHSAS is proud to provide a comprehensive benefit package designed to support our employees and their dependents. Our benefits include:
Generous state paid benefit allowance to help cover insurance premiums.
A Wide choice of health insurance plans to help cover insurance premiums.
Flexible spending accounts for health care expenses or dependent care
Employee assistance programs and health and fitness programs
11 paid holidays
15 days of vacation and 15 days of sick leave the first year
Retirement savings plan with generous match
Longevity Bonus for years of service
Training opportunities for CEU requirements
Drug and Alcohol Pre-employment and Pre-placement testing: Upon conditional offer of employment, applicants for safety sensitive positions shall be required to submit to urinalysis to test for drugs. Appointment to a safety sensitive position shall be contingent upon a negative drug test result.
THIS AGENCY REQUIRES COVERAGE 24 HOURS, 7 DAYS PER WEEK. Work hours and location may vary depending on business necessity. Employees may be required to work weekends and overtime.
Reasonable accommodation to individuals with disability may be provided upon request.
An Equal Opportunity Employer.
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