Reimbursement Services Director jobs in Providence, RI

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)

D
Reimbursement Manager
  • Day Kimball Healthcare
  • Putnam, CT FULL_TIME
  • Job Title: Reimbursement Manager
    Department: Finance
    Hours: 40 hours 
    Shift: 1st | 8:00am-4:30pm 
     
    JOB SUMMARY:
     
    Under the supervision of the Vice President of Finance, the Reimbursement Manager gathers and compiles financial and operational data, analyzes and summarizes that data in a manner which accurately represents financial results and complies with government regulations and third-party contracts.
     
    SKILLS AND ABILITIES:
    1. Maintains accurate and timely information regarding 3rd party reimbursement and prepares financial and statistical reports including Medicare and Medicaid DRG payment analyses.
    2. Designs and maintains databases for allocation statistics and physician information used in Medicare cost reporting.
    3. Assists with all aspects of Medicare cost reporting, including expense analysis and statistics gathering.
    4. Performs functions for month-end financial reporting of net revenue and assists with year-end financial audits.
    5. Assists in development of hospital operating budgets, particularly in regard to gross and net revenue, charge amounts, volumes, proper coding and system interfaces.
    6. Performs miscellaneous analyses and studies for use in the Medicare Cost report, other official filings, and surveys as required.
    7. Responds to questions from financial, government, and 3rd party auditors.
    8. Utilizes specialty computer programs, such as for Medicare cost reporting and contract management.  Understands general ledger and patient accounting systems and program interfaces and can determine most efficient and accurate source of information.
    9.  Performs other duties as required.
    10. Demonstrate efforts to maintain and improve job specific competencies.  Incorporate new knowledge into practice.
    11. Participate in continuous quality improvement activities.
    12. Remain flexible in work schedule in order to provide the most effective and efficient support for the department and hospital mission.
    13. Although position has no responsibility for the assessment, treatment or care of patients, must demonstrate ability to communicate and interact with patients and customers of all ages.
    14. Demonstrate knowledge of all department and hospital policies relevant to the performance of their responsibilities.
    15. Demonstrate knowledge and application of fire safety, hazardous communication program and general safety.
    QUALIFICATIONS:
     
    1. BA/BS in Accounting, Business, or Finance; MBA preferred
    2. Experience in health care and reimbursement preferred.
    3. Strong analytical, technical and organizational skills required as well as excellent interpersonal and communication skills.
    4. Experience and proficiency with computers and in software spreadsheet applications required.
    5. Excellent motivational skills as well as the ability to be a change agent.
     
    Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day Kimball HomeCare, Hospice & Palliative Care of Northeastern CT, Day Kimball HomeMakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities. Day Kimball Healthcare’s comprehensive network offers more than 1,400 employees including nearly 300 associated, highly-skilled physicians, surgeons and specialists. Its website is daykimball.org. 
     
    Day Kimball Healthcare is an Affirmative Action / equal opportunity employer committed to providing equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.
     
                       

  • 8 Days Ago

C
Director of Support
  • Carriage Services
  • Providence, RI FULL_TIME
  • Director of Support - Funeral Homes (North East) At Carriage Services we believe in the concept of “First Who, Then What.” We have learned that leaders, who attract and surround themselves with the be...
  • 12 Days Ago

R
Director of BI, Client Services
  • Robert Half
  • New York, NY OTHER
  • If you are a Project Manager/ Sr. Consultant looking for a new opportunity, this position for a talented candidate might be of interest to you. You'll be best for this position if you're adept at mana...
  • 16 Days Ago

E
Director Senior Services
  • East Bay Community Action Program
  • East Providence, RI FULL_TIME
  • The East Bay Community Action Program (EBCAP) is seeking one Full-time Director of the Senior Services Department located at 100 Bullocks Point Avenue in East Providence, RI. We seek a motivated indiv...
  • 20 Days Ago

P
Director of Student Services
  • Plainville Public Schools
  • Plainville, MA FULL_TIME
  • The Director of Student Services ensures that all students can access the curriculum and participate in the school community. The Director is responsible for developing, implementing, supervising and ...
  • 21 Days Ago

W
Director of Social Services
  • Westview Nursing & Rehabilitation
  • Warwick, RI FULL_TIME
  • West View is located in West Warwick, RI. We are a 120-bed facility with a homelike feel. We are looking for a full-time Social Worker to join our team. Call us at 401-825-6103 for more information! J...
  • 1 Day Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Reimbursement Services Director jobs found in Providence, RI area

A
Director, Capture
  • Amentum
  • Providence, RI
  • Job Description Amentum is seeking a full-time **Capture Manager** to lead and support growth in its Critical Missions/S...
  • 4/25/2024 12:00:00 AM

H
MarketPoint Reporting Director
  • Humana
  • Providence, RI
  • Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City an...
  • 4/24/2024 12:00:00 AM

P
Director of Operations
  • Providence College
  • Providence, RI
  • Welcome and thank you for your interest in a career with Providence College Provide overall management for operational a...
  • 4/23/2024 12:00:00 AM

H
MarketPoint Implementation Director
  • Humana
  • Providence, RI
  • Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City an...
  • 4/23/2024 12:00:00 AM

C
Program Director
  • CODAC Behavioral Healthcare (CODAC Inc.)
  • Providence, RI
  • CODAC believes in saving lives by understanding the whole person. We tailor patient centered, wrap-around care to meet o...
  • 4/22/2024 12:00:00 AM

T
Director of Stewarding
  • The Newbury Boston
  • Boston, MA
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/1/2024 12:00:00 AM

T
Assistant Director of Catering Sales
  • The Newbury Boston
  • Boston, MA
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/1/2024 12:00:00 AM

A
Director of Operations - Brandeis University
  • Aramark
  • Waltham, MA
  • About Harvest Table Culinary Group Our Mission Rooted in service and united by our purpose, we strive to do great things...
  • 3/25/2024 12:00:00 AM

The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown. Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$158,005 to $225,002
Providence, Rhode Island 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