Reimbursement Services Director jobs in Peoria, IL

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 Social Services - Lutheran Hillside Village Care Center
  • Lutheran Senior Services
  • Peoria, IL FULL_TIME
  • Introduction:
    At Lutheran Senior Services, team members at all levels find their calling in our mission of Older Adults Living Life to the Fullest . In this work environment, all team members are part of a community and appreciated by the people they work with – residents and coworkers – every day.

    Summary:
    This position is responsible for directing and supervising the day-to-day operations of the social service department of their respective Life Plan Community

    Essential Duties and Responsibilities:
    Plans, develops, organizes, manages, and evaluates their location’s Social Services department and staff ( if applicable)

    Completes daily administrative paperwork including but not limited to budgeting, community planning, problem solving, assessments

    Documents in residents’ charts regarding pertinent information to conform with LSS policy and state and federal regulations. Reviews documentation for compliance

    Actively participates in Quality Assurance and Performance Improvement

    Initiates and attends resident care plans as needed if no social services coordinator

    Addresses and assists in solving residents’ and family concerns

    Develops a referral network within the community for available resources for residents and families

    Manages the Medicaid case load for the respective life plan community or licensed level of living

    May conduct closings in AL/ALMC and care center

    Develops and changes departmental policies and procedures as needed.

    Assists in supporting other departments as needed to benefit the resident and family

    Knowledge, Skills, and Abilities:
    Bachelor’s Degree in Social Work or related field of study required; Master’s Degree preferred

    Two or more years of related work experience required

    Prior experience working in long term care preferred

    Social Work License (LCSW or LSW) preferred

    Strong supervisory and leadership skills

    Strong verbal and written communication skills in regard to fellow employees, resident, families, and outside agencies

    General understanding and knowledge of geriatrics

    Ability to adjust to daily interruptions and re-arrange schedule due to resident, family and facility needs.

    Physical Activities and Demands; Working Conditions:
    The physical activities and demands and working conditions described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

    While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; and talk to hear. The employee frequently is required to sit; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance.

    The working conditions involve a well-lighted and ventilated working area that has its own temperature control system (air conditioning and heat); Possible exposure to combative residents; Minimal exposure to chemicals and hazardous waste; Minimal exposure to outside weather conditions; Appropriate ergonomic and personal safety equipment is provided as needed.

    This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees may be required to follow other job-related instructions and to perform other job-related duties as requested, subject to all applicable federal, state, and local laws and standards.

    Additional Information:
    N/A
  • Just Posted

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Social Services Director
  • The Loft of Eureka
  • Eureka, IL FULL_TIME
  • SOCIAL SERVICES DIRECTOR The Loft Rehabilitation and Nursing of Eureka is a skilled nursing facility in Eureka, Illinois. At The Loft, our commitment is to quality resident experience and strong, evid...
  • 18 Days Ago

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Social Services/ Admissions Director
  • Petersen Health Care
  • Pekin, IL FULL_TIME
  • Social Services/ Admissions Director Job Responsibilities Providing customers with facility related information via facility tours, personal visits/assessments, and follow-up Care planning to meet soc...
  • 19 Days Ago

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Director, Laboratory Services
  • Nealy Pierce
  • Tennessee, IL FULL_TIME
  • Nealy Pierce has been engaged by a leading, multi-campus health system in Tennessee to conduct a search for a Director, Laboratory Services to join their team. In this role, you will serve as the stra...
  • 22 Days Ago

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Director of Resident Services
  • Franciscan Ministries
  • Minier, IL FULL_TIME
  • Overview: Join Our Team as Director of Resident Services at The Village at Mercy Creek in Normal, Illinois! Are you a compassionate and dynamic leader with a passion for enhancing the lives of seniors...
  • Just Posted

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Director of Resident Services
  • Franciscan Ministries
  • Delavan, IL FULL_TIME
  • Overview: Join Our Team as Director of Resident Services at The Village at Mercy Creek in Normal, Illinois! Are you a compassionate and dynamic leader with a passion for enhancing the lives of seniors...
  • Just Posted

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0 Reimbursement Services Director jobs found in Peoria, IL area

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Finance Director
  • Staffing Matches
  • Peoria, IL
  • We are looking for a Finance Director in Peoria! In this newly-created position, you'll be in charge of the accounting a...
  • 4/26/2024 12:00:00 AM

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Finance Director
  • City of Pekin
  • Pekin, IL
  • The City of Pekin is currently accepting applications and resumes for a Finance Director. This position will serve as th...
  • 4/26/2024 12:00:00 AM

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Program Director/Medical Assisting
  • Vector Careers Inc
  • East Peoria, IL
  • I am looking for someone to lead the Medical Assisting Program at a great college in East Peoria IL. They would be maint...
  • 4/26/2024 12:00:00 AM

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Director of Rehabilitation: Full-Time
  • Renewal Rehab
  • TOULON, IL
  • Overview: Must be a licensed and or a registered therapist to be considered. ** EXCLUSIVE NEW JOB OPPORTUNITY!!** ***Hig...
  • 4/25/2024 12:00:00 AM

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Production Operations Director
  • Homerun B.v.
  • Washington, IL
  • Make things we love for the things we love.Full-time Fully Remote $115-135KAbout the Role The Production Operations Dire...
  • 4/24/2024 12:00:00 AM

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Associate Director, Digital
  • NOVUS
  • Bloomington, IL
  • WHY WORK AT NOVUS: We Bring Brands To Where People Live Their Lives. NOVUS is an independent local media planning and bu...
  • 4/23/2024 12:00:00 AM

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Finance Director
  • Staffing Matches
  • Peoria, IL
  • We are looking for a Finance Director in Peoria! In this newly-created position, you'll be in charge of the accounting a...
  • 4/22/2024 12:00:00 AM

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Accounting Director
  • Midwest Food Bank
  • Peoria, IL
  • Job Description Job Description Description: SUMMARY & MISSION STATEMENT:Midwest Food Bank (MFB) is a $482M non-profit o...
  • 4/22/2024 12:00:00 AM

Peoria (/piˈɔːriə/ pee-OR-ee-ə) is the county seat of Peoria County, Illinois, and the largest city on the Illinois River. Established in 1691 by the French explorer Henri de Tonti, Peoria is the oldest European settlement in Illinois, and is named after the Peoria tribe. As of the 2010 census, the city was the seventh-most populated in Illinois (and the third largest outside the Chicago metropolitan area), with a population of 115,007. The Peoria Metropolitan Statistical Area had a population of 373,590 in 2011. Until 2018, Peoria was the global and national headquarters for Caterpillar Inc.,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$144,900 to $206,341
Peoria, Illinois 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