Reimbursement Services Director jobs in Memphis, TN

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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Regional Reimbursement Specialist (Regional MDS Director)
  • Champion Care
  • Memphis, TN FULL_TIME
  • Due to our recent growth we are currently interviewing for a Regional Reimbursement Specialist to add to our team in Tennessee!

    At Champion Care, we are driven by a noble mission: to deliver unparalleled quality services to our residents and their families, empowering each resident to soar to their highest potential. Rooted in this mission, we aspire to set the standard as both a provider and employer in every community we touch.

    Our principles of respect and dignity extend beyond our residents and families; they are upheld for every member of our esteemed team. Here at Champion Care, we passionately champion the wellbeing of our dedicated professionals, offering unwavering support, heartfelt recognition, and meaningful rewards.

    Are you ready to make a positive impact in the healthcare industry? We're seeking an enthusiastic and driven individual to join our team as a Regional Reimbursement Specialist (Regional MDS Director).  Do you have previous MDS Coordinator or Regional Director of MDS/Reimbursement experience and want to take your skills to educate, grow, and lead?  This is the opportunity for you.

    Locations: Memphis, Dyersburg, Madisonville

    **Daily duties:**

    - Review PCC clinical ADT dashboard reports to ensure accurate payers and MDS assessments.

    - Identify PDPM opportunities by reviewing SNF metric progress notes.

    - Serve as a supportive resource for facilities within your region.

    **Weekly Duties:**

    - Update CMI tracker and collaborate with facility teams to set reimbursement goals.

    - Maintain ADR tracker and provide support on ADR status.

    - Attend facility stand-ups, stand-downs, and Medicare meetings to ensure effective communication and compliance.

    - Conduct mini audits to uphold compliance standards.

    **Monthly Duties:**

    - Review MDS 3.0 Missing Assessment Report to ensure CMS reimbursement accuracy.

    - Verify QM and QRP audits for timeliness and accuracy.

    - Participate in triple check meetings for comprehensive review.

    **Quarterly Duties:**

    - Conduct Quarterly Reimbursement and Quality Assurance Evaluations.

    - Perform CMI audits as needed.

    **Why Join Us:**

    - Dynamic work environment with opportunities for growth and development.

    - Competitive compensation and benefits package.

    - Make a meaningful difference in the lives of patients and staff members.

    **Qualifications**

    -TN RN Licensure

    -Previous MDS Coordinator experience, including up to Regional MDS

     

    **Apply Now:**

    If you're ready to take on a rewarding role that combines leadership, collaboration, and innovation, we want to hear from you! Submit your application today and join us in making a difference in healthcare.

    Champion Care is an equal opportunity employer and is committed to diversity and inclusion in all aspects of employment. We do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. We actively encourage individuals from all backgrounds to apply for employment opportunities within our organization.

    keywords: MDS, pdpm, mds 3.0, registered nurse, rn, mds coordinator, regional director of clinical reimbursement, regional mds nurse, rn, registered nurse, RN, MDS, mds coordinator, rai, resident assessment coordinator

     

  • 2 Days Ago

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Division Director (Director of Community Services)
  • Shelby County Government
  • Memphis, TN FULL_TIME
  • Position Summary Works under appointment of the Shelby County Mayor and serves under the administrative direction of the Chief Administrative Officer to be responsible for oversight and directing the ...
  • 15 Days Ago

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Director of Guest Services
  • WELLENGOOD PARTNERS
  • Memphis, TN FULL_TIME
  • Director of Guest ServicesFull Time /Exempt JOB SUMMARYResponsible for all front office functions and staff as well as security staff functions. Areas of responsibility include Switchboard Operations,...
  • 2 Months Ago

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Director, Revenue & Metering Services
  • MEMPHIS LIGHT GAS & WATER
  • Memphis, TN FULL_TIME
  • MLGW is the nation’s largest three-service municipal utility, serving over 440,000 customers representing diverse backgrounds. Since 1939, MLGW has met the utility needs of Memphis and Shelby County r...
  • 18 Days Ago

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Director of Women's Services
  • Clinical Management Consultants
  • Oxford, MS FULL_TIME
  • An award-winning healthcare facility is looking for a skilled Nurse Leader to direct their Women and Children's Service Lines. This 372 bed facility takes care of a wide range of patients ranging from...
  • 18 Days Ago

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Director of Clinical Services
  • Perimeter Healthcare
  • Jackson, TN FULL_TIME
  • JOB SUMMARY: The Director of Clinical Services is responsible for providing supervision to clinicians, case managers, and recreational coordinators for both the Residential Treatment Center and Acute ...
  • 19 Days Ago

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0 Reimbursement Services Director jobs found in Memphis, TN area

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Director of Development
  • Communities In Schools Of Memphis
  • Memphis, TN
  • About Communities In Schools Of Memphis At Communities In Schools of Memphis (CISM), we are unapologetically advancing e...
  • 4/26/2024 12:00:00 AM

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Program Director
  • Fedcap
  • Memphis, TN
  • Position Summary: The Project Director works closely with the Senior Director to resolve complex issues and execute the ...
  • 4/26/2024 12:00:00 AM

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Program Director
  • Youth Advocate Programs
  • Memphis, TN
  • Status: Full-Time SalariedFLSA Classification: Exempt Summary of Position: Program Director is responsible for the overa...
  • 4/26/2024 12:00:00 AM

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Director of Operations
  • Zips Car Wash LLC
  • Memphis, TN
  • Title: Regional Operations Director Locations: Memphis, TN Little Rock, AR Oklahoma City, OK Tulsa, OK Who we are: ZIPS ...
  • 4/25/2024 12:00:00 AM

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Program Director
  • Fedcap
  • Memphis, TN
  • Position Summary: The Project Director works closely with the Senior Director to resolve complex issues and execute the ...
  • 4/24/2024 12:00:00 AM

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Library Director
  • Avenu Insights & Analytics
  • Memphis, TN
  • Job Description Job Description Job Summary: The City of Bartlett is Hometown Proud and stands as a Tennessee treasure b...
  • 4/24/2024 12:00:00 AM

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Director of Operations
  • Prestigious Placement, Inc.
  • Memphis, TN
  • Job Description Job Description We are seeking a Director Of Operations to become an integral part of our team! You will...
  • 4/24/2024 12:00:00 AM

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Director of Operations
  • Zips Car Wash Llc
  • Memphis, TN
  • Title: Regional Operations Director Locations: Memphis, TN Little Rock, AR Oklahoma City, OK Tulsa, OK Who we are: ZIPS ...
  • 4/23/2024 12:00:00 AM

Memphis is a city located along the Mississippi River in southwestern Shelby County, Tennessee, United States. The 2017 city population was 652,236, making Memphis the largest city on the Mississippi River, second-largest city in Tennessee, as well as the 25th largest city in the United States. Greater Memphis is the 42nd largest metropolitan area in the United States, with a population of 1,348,260 in 2017. The city is the anchor of West Tennessee and the greater Mid-South region, which includes portions of neighboring Arkansas and Mississippi. Memphis is the seat of Shelby County, the most p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$141,135 to $200,979
Memphis, Tennessee area prices
were up 1.3% 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