Reimbursement Services Director jobs in Longview, TX

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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Director Emergency Services
  • St Luke's Health - Memorial - Lufkin
  • LUFKIN, TX FULL_TIME
  • Overview

    St. Luke’s Health-Memorial paves the way for quality innovative health care in East Texas and provides more than a quarter of a million patient services each year. With hospitals in Lufkin Livingston and San Augustine St. Luke’s Health-Memorial provides millions of dollars in charity care and community support each year.

     

    The Director of Emergency Services has accountability for Emergency Services. Provide leadership and communication to the staff and physicians working within the area. Assures practice adheres to regulatory requirements. Departmental practices and processes consistently reflect high quality standards which support excellence in patient care and a safe environment for patients, employees, physicians, visitors and guests. Must assure quality standards are implemented and maintained, and processes are updated and revised as appropriate. Must manage a large fiscal budget. They must also lead the capital budget planning in their area and manage human resources efficiently. Monitor metrics to validate performance against national and system benchmarks and to ensure the delivery of competent clinical practice is consistently achieved.


    Responsibilities
      • Demonstrates positive leadership skills and communication which results in achievement of outcomes.
      • Articulates departmental goals and objectives allowing staff to actively participate in clinical decision-making. 
      • Facilitates high quality work environment by addressing the needs of the department(s). 
      • Ensures that appropriate equipment and supplies are available to provide effective and efficient nursing care. 
      • Participates in quality programs (e.g. AMI, Stroke, CAP )and Ensures implementation of identified action plans for continuous performance improvement. 
      • Develops, reviews, and Maintains fiscal budget within established targets.  
      • Assures staffing patterns are flexed according to unit activity and patient acuity.
      • Analyze budget variances and Implements appropriate action plans. 
      • Develops and manages the annual capital budget, establishing equipment priorities based on patient needs and revenue potential. 
      • Identifies and Implements major hospital cost savings  
      • Facilitates professional growth and development of staff.  
      • Demonstrates accountability for human and material resource management 
      • Complies with HR policies and procedures. Ensures that job standards are understood by employees. 
      • Ensures effective delivery of competent, compassionate nursing care. 
      • Establishes strong, working relationship with physicians. Develops interprofessional processes and achieves efficiencies within department. 
      • Engages staff to provide excellent customer service to patients.

    Qualifications

    Required Education:

    • Bachelor’s in a Healthcare related field from an Accredited University Required; Master’s Degree preferred

    Required Experience:

    • Seven (7) years experience in the discipline
    • Five (5) years Leadership experience

    Required Licensure:

    • Texas Registered Nurse License (RN)
    • BLS
    • ACLS (within 60 days of hire/transfer)
    • TNCC (within 18 months of hire/transfer)

    Required Knowledge, Skills and Abilities:

     

    • Strong interpersonal, communication, and organizational skills. 
    • Need to be able to develop polished audiovisual presentations and create spreadsheets. 
    • Must have excellent time management skills.
  • 15 Days Ago

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Area Director of Patient Services
  • SLP Operations, LLC
  • Paris, TX FULL_TIME
  • Description: Paris/Commerce Region SLP Operations, LLC operates 50 skilled nursing centers in Texas and Oklahoma. Our commitment is to provide love, attention and optimal care one resident at a time. ...
  • 17 Days Ago

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Director of Special Education Services
  • Queen City Independent School District
  • Maud, TX FULL_TIME
  • Primary Purpose: Direct and manage the district’s special education program and provide diagnostic evaluations and report writing. Ensure that services are provided for students with special needs and...
  • 4 Days Ago

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Social Services Director
  • Stonegate Senior Living
  • Tyler, TX FULL_TIME
  • Social Services Director Park Place Nursing & Rehabilitation Center Tyler, TX Park Place Nursing & Rehabilitation Center in Tyler, TX is hiring a Social Services Director. A rewarding career is waitin...
  • 5 Days Ago

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Hospital Pharmacy Services Director
  • Clinical Management Consultants
  • Longview, TX FULL_TIME
  • A rewarding career growth opportunity is immediately available in Eastern Texas for the Hospital Pharmacy Services Director! The team at this beloved medical center is seeking an energetic, personable...
  • 19 Days Ago

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Director of Dining Services
  • The Blake at Tyler
  • Tyler, TX FULL_TIME
  • Do you have a passion to serve others? Are you looking for a career and not just a job where words such as Caring, Community and FUN mean something? Then you've found your next career at BMG Senior Li...
  • 22 Days Ago

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0 Reimbursement Services Director jobs found in Longview, TX area

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Community Director - EX
  • FPI Management
  • Pittsburg, TX
  • Multifamily Property Management The Community Director (Exempt) is fully accountable for all day-to-day operations of a ...
  • 4/19/2024 12:00:00 AM

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Director of Residence Life
  • Jarvis Christian University
  • Hawkins, TX
  • Job Description Job Description POSITION TITLE: Director of Residence Life Reporting to the Vice President for Student S...
  • 4/19/2024 12:00:00 AM

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Director Respiratory Therapy
  • Christus Health
  • Longview, TX
  • Description Summary: To manage the Respiratory Care, Cardiology-general, Bronchoscopy/PFT Lab, EEG, NCV/EMG, and Rehab R...
  • 4/17/2024 12:00:00 AM

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System Director, Ambulatory Informatics
  • Christus Health
  • Tyler, TX
  • Description Summary: The System Director, Ambulatory Informatics is responsible for providing oversight and leadership i...
  • 4/17/2024 12:00:00 AM

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Director of Operations
  • Keeprite Refrigeration
  • Longview, TX
  • KeepRite Refrigeration has been a leading manufacturer of commercial refrigeration equipment since 1945. Products includ...
  • 4/16/2024 12:00:00 AM

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Director, Quality & Patient Safety
  • UT Health Tyler
  • Tyler, TX
  • Overview In a joint venture partnership with UT Health System,Ardent operates UT Health East Texas in Tyler, Texas. UT H...
  • 4/16/2024 12:00:00 AM

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Director Therapy Operations
  • Encompass Health
  • Tyler, TX
  • The Director of Therapy Operations organizes, develops, directs, and supervises all aspects of Therapy Operations, which...
  • 4/15/2024 12:00:00 AM

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Sr. Director, Applied Research
  • Capital One
  • Longview, TX
  • Center 1 (19052), United States of America, McLean, Virginia Sr. Director, Applied Research Overview: At Capital One, we...
  • 4/15/2024 12:00:00 AM

Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$137,520 to $195,831
Longview, Texas area prices
were up 1.2% 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