Reimbursement Services Director jobs in Newark, NJ

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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Nurse Practitioner (NP)
  • Medical Director Services PC
  • Newark, NJ FULL_TIME
  • Nurse Practitioner (NP)

    Medical Director Services PC is looking to hire experienced Nurse Practitioners (NP) to service New Vista Nursing and Rehab located in Newark, NJ. The ideal candidate will have previous nursing home experience and will have reliable transportation.

    New Grads Welcome!!

    Excellent salary will be offered, commensurate with experience.

    Provider Duties:
    • Serves in the role of primary care provider to long and short term residents. Assessing patient's health by visiting patients; performing physical examinations; obtaining, updating, and studying medical histories.
    • Team based care, collaborating with the medical attending/physician, as well as nursing home staff to provide the highest standard of care attainable.
    • Building a relationship with residents and families, educating and formulating a plan of evidence-based care, congruent with the patients' needs and desires.
    • Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions.
    • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
    • Maintains safe and clean working environment by complying with procedures, rules, and regulations. Additionally ensuring standards align with the core values of the organization: being respectful, professional, and cognizant of all cultural, personal and religious beliefs.
    • Reviewing and ensuring charting, documenting, and administration of care is up to date and performed in a timely and efficient manner.
    Requirements:
    • Health Promotion and Maintenance, Thoroughness, Clinical Skills, Informing Others, Medical Teamwork, Bedside Manner, Infection Control, Administering Medication, Pain Management, Self-Development
    • Must be Board Certified
    Extensive training will be offered

    We will consider applicants that have Hospital setting experience

    ABOUT US:

    Medical Director Services was founded in 2016 when SNF's were shifting a focus on value at the same time treating residents with a higher level of acuity. MDS PC puts an emphasis on quality and customer service first. Another crucial focus is treating in place when possible and reducing unnecessary hospitalizations. MDS PC is experienced in providing medical services in an SNF setting with an understanding of how to give effective medical care in an SNF as well as an understanding of the survey process. We are currently providing services in facilities with specialty units and provide appropriate medical personal with the experience in treating residents on a vent. It is standard for our providers to reach out to the surrounding hospitals to ensure that we have good communications in terms of the continuation of care. We put a major focus on reducing the number of medications as well as the requirements with narcotics and psych meds. If the providers feel that certain medications are appropriated, we ensure that it is well documented so that the facility will not be cited.
  • 7 Days Ago

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MDS Director of Clinical Reimbursement
  • LIVIA
  • East Hanover, NJ FULL_TIME
  • POSITION: MDS Director of Clinical Reimbursement DEPARTMENT: Nursing SUPERVISOR: Administrator WORK AREA: Skilled Nursing & Assisted Living The Director of Clinical Reimbursement is responsible for ga...
  • 7 Days Ago

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Assistant Director, Division of Social Services
  • Union County Department of Human Services
  • Elizabeth, NJ FULL_TIME
  • The County of Union is seeking an Assistant Director for the Division of Social Services. This position will be under the direction of the Director of the Department of Human Services. The Assistant D...
  • 27 Days Ago

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Office Assistant
  • GardenHill Funeral Director Service, Inc.
  • Orange, NJ PART_TIME,TEMPORARY
  • Record keeping Errands Driver’s license Flexible Professional Attire Communication Skills Job Types: Part-time, Temporary Pay: $16.00 - $20.00 per hour Expected hours: No less than 20 per week Schedul...
  • 28 Days Ago

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Body Removal Technician
  • GardenHill Funeral Director Service, Inc.
  • Irvington, NJ TEMPORARY,PART_TIME
  • Responsible for the care, removal, and transport of deceased. Safely and courteously, drives company owned vehicles. Maintains company vehicles cleanliness. Professional appearance and business suit r...
  • 28 Days Ago

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Director of Social Services
  • HC&N Healthcare Solutions
  • Orange, NJ FULL_TIME
  • Director of Social Services A nursing home is currently looking for a highly experienced Director of Social work to join their team of dedicated professionals. As the Social Work Director you will det...
  • 16 Days Ago

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0 Reimbursement Services Director jobs found in Newark, NJ area

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Director of Security
  • Brinks
  • New York, NY
  • The Brink's name is a promise to respect the trust we've earned in over 150 years in business. Every employee honors tha...
  • 4/25/2024 12:00:00 AM

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Director, Client Development
  • Epsilon
  • New York, NY
  • Job Description This individual will be responsible for creating win/win outcomes by introducing Yieldify's highly diffe...
  • 4/22/2024 12:00:00 AM

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Director
  • HSBC
  • New York, NY
  • Director, HSBC Securities (USA) Inc., New York, NY: Support Managing Directors in the Consumer and Retail sector investm...
  • 4/22/2024 12:00:00 AM

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Managing Director/Director
  • FE International
  • New York, NY
  • The Opportunity: FE International is looking for a senior investment banker (the "Senior Banker") to originate and execu...
  • 4/21/2024 12:00:00 AM

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Director
  • City of New York
  • New York, NY
  • Job Description The Administration for Childrens Services (ACS) protects and promotes the safety and well-being of child...
  • 4/21/2024 12:00:00 AM

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Director
  • New York Kids Club
  • New York, NY
  • Job Type Full-time Description NY Kids Club & NY Preschool is New York's premier children's enrichment space and accredi...
  • 4/21/2024 12:00:00 AM

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Director
  • Cushman & Wakefield
  • New York, NY
  • Job Title Director Job Description Summary Director - New York City: Capital Markets transactions and sales support, and...
  • 4/21/2024 12:00:00 AM

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Director of Sales
  • Sunrise Senior Living
  • Summit, NJ
  • Overview "Sunrise is the best place that I've ever worked, simply because of the people. We provide quality care in an e...
  • 2/21/2024 12:00:00 AM

Newark (/ˈnjuːərk/,[24] locally /njʊərk/)[25] is the most populous city in the U.S. state of New Jersey and the seat of Essex County.[26] As one of the nation's major air, shipping, and rail hubs, the city had a population of 285,154 in 2017, making it the nation's 70th-most populous municipality, after being ranked 63rd in the nation in 2000. Settled in 1666 by Puritans from New Haven Colony, Newark is one of the oldest cities in the United States. Its location at the mouth of the Passaic River (where it flows into Newark Bay) has made the city's waterfront an integral part of the Port of New...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$170,205 to $242,375
Newark, New Jersey area prices
were up 1.6% 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