Reimbursement Services Director jobs in Pensacola, FL

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 of Physician Services I
  • Gulf Coast Medical Care Beach
  • Panama, FL FULL_TIME
  • This position is incentive eligible.


    Introduction

    Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Director Physician Services I for our Gulf Coast Medical Care Beach team where excellence creates excellence.

    Benefits

    Gulf Coast Medical Care Beach, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.


    HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Director Physician Services I role today!

    Job Summary and Qualifications

    The role of the Director of Physician Services (DPS) is a strategic leader who oversees and takes ownership of a clinical operations market with less than 50 providers (DPS I) or 51 or more providers (DPS II). Provides support to hospital facilities operations management related to physicians, including primary care, specialists, and subspecialists who practice in hospital and outpatient settings. Responsibilities include oversight of the operations, budget, and general management of a portfolio of practices within a defined geographic area or specialty. This individual will have strategic, ongoing communications and interactions with the relevant hospital division from both a strategic and tactical standpoint. Building effective partnerships with hospital and operations team members is integral to success in this role.

    What you will do in this role:

    • You will demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients
    • You will identify opportunities for improvement and innovation, removes barriers and resistance, and enable desirable behavior
    • You will collaborate effectively with Division service line leaders and hospital business development leaders
    • You will proactively identify practice/business development opportunities to increase market share
    • You will direct and manage strategic projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding, physician and staff training
    • You will have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practices. These responsibilities include Human Resources responsibilities.
    • You will develop, implement and monitor practice budgets including analyzing financial impact of changes and forecasts, and expenditures. Recommends corrective action as required
    • You will have supervisory responsibility for physicians and practice staff as well as meet regularly with constituents including but not limited to operations leadership, physicians and hospital administration to review practice strategy, market and division goals, financial performance and practice key indicators
    • You will oversee physician recruiting and contracting in collaboration with other PSG colleagues
    • You will work with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
    • You will promote consistent patient interactions that advance the agenda of increased patient satisfaction
    • You will perform other duties as assigned

    What qualifications you will need:

    • Bachelor’s Degree in health or business administration required
    • Master’s Degree or equivalent combination of education and/or experience preferred
    • CMPE completion preferred
    • 3 years of leadership experience in practice management of multiple locations required
    • 5 years of relevant clinical operations experience required

    Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170 urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


    "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a Director Physician Services I. Unlock your leadership potential with HCA Healthcare.

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

    #LI-exec

  • 14 Days Ago

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Director of Surgical Services
  • Mountain Management Group
  • Pensacola, FL FULL_TIME
  • This Director will report to the Chief Nursing Officer and will act as a liaison between the Hospital Administration and the staff. The Director is a professional nurse, responsible for directing and ...
  • 19 Days Ago

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Director of Nursing/Resident Services
  • The Beacon at Gulf Breeze
  • Gulf Breeze, FL FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in Heartful Care for our residents and their families by performing the following duties. Duties and Responsibilities ...
  • 19 Days Ago

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Rehabilitation Services Program Director
  • HCA Florida Fort Walton-Destin Hospital
  • Fort Walton Beach, FL FULL_TIME
  • This position is incentive eligible. Introduction Do you want to join an organization that invests in you as a Rehabilitation Services Program Director? At HCA Florida Fort Walton-Destin Hospital, you...
  • Just Posted

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Director of Nutritional Services
  • Specialty Health and Rehabilitation Center
  • Pensacola, FL FULL_TIME
  • Director of Nutritional Services Specialty Health and Rehabilitation Center is looking to hire a highly motivated and experienced Director of Nutritional Services to join our team! As the Director, yo...
  • Just Posted

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Director of Agent Services
  • Keller Williams Emerald Coast
  • Santa Rosa, FL FULL_TIME
  • Director of Agent Services is a Full-time, Hourly position. This position provides support to the market center agents and Team Leader/Broker. The DAS facilitates getting agents acclimated to the KW s...
  • 2 Days Ago

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0 Reimbursement Services Director jobs found in Pensacola, FL area

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Regional Director of Operations
  • A&R Group
  • Gulf Shores, AL
  • A & R Hospitality Group is looking for a Regional Director of Operations that can lead, mentor, manage and guide multipl...
  • 4/22/2024 12:00:00 AM

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Director of Finance JR104907
  • Yulista
  • Pensacola, FL
  • Yulista Director of Finance JR104907 in Huntsville , Alabama This position may have the responsibility for managing pers...
  • 4/22/2024 12:00:00 AM

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Director of Case Design
  • SWAN Capital
  • Pensacola, FL
  • Director of Case Design Do you have a passion for delivering superior customer service while being a key player in the e...
  • 4/22/2024 12:00:00 AM

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Director of Benefits
  • Revel Search
  • Pensacola, FL
  • Job Description The Director of Benefits is responsible for directing and planning the day-to-day operations of group be...
  • 4/21/2024 12:00:00 AM

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Director of Case Design
  • Swan Capital
  • Pensacola, FL
  • Director of Case Design Do you have a passion for delivering superior customer service while being a key player in the e...
  • 4/20/2024 12:00:00 AM

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Community Director
  • Occupancy Heroes, Inc.
  • Pensacola, FL
  • Job Description Job Description Are you looking for a great position in the Multifamily industry??? We are currently see...
  • 4/19/2024 12:00:00 AM

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Director of Housekeeping
  • Mister Fox Enterprises Llc
  • Pensacola, FL
  • Job Description Job Description We are seeking a Director Of Housekeeping to join our team! You will perform a variety o...
  • 4/18/2024 12:00:00 AM

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Food Service Director
  • Aramark
  • Milton, FL
  • Job Description The Food Service Director at Santa Rosa Annex (Corrections) is a management position responsible for dev...
  • 4/16/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$136,465 to $194,329
Pensacola, Florida area prices
were up 1.5% 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