Reimbursement Services Director jobs in Sarasota, 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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Reimbursement Specialist
  • Temp Experts
  • Sarasota, FL FULL_TIME
  • Reimbursement Specialist
    Sarasota, FL

    TempExperts is hiring a knowledgeable Reimbursement Specialist to join a healthcare organization in Sarasota, FL Florida.

    The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable and patient service revenue records and reports.

    Responsibilities will include, but not be limited to:
    • Compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable and patient service revenue records and reports.
    • Promotes and practices the mission and values and follows all policies and procedures.
    • Prepares, reviews, and submits monthly billings according to established procedures.
    • Matches bills with census and identifies discrepancies, reviews patient billing revenues for accuracy.
    • Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
    • Reviews and corrects accounts receivable bills/records before transmission or mailing.
    • Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
    • Completes billing audits to ensure accuracy and/or compliance.
    • Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.
    • Contacts Medical Records as needed to acquire any information and records needed for billing. Coordinates the compilation and submission of information needed for Medicaid and Medicaid managed care providers, including obtaining authorizations.
    • Continuously strives to improve processes and maintain high standards of quality and customer service.

    Required/Desired Skills:
    • Associate degree with one year previous medical/billing office experience or a combination of experience and education will be considered.
    • Proficiency with billing software-able to demonstrate proficiency within 3 months of post hire.
    • Must have Part A billing experience.
    • Medicare and Medicaid billing knowledge.
    • Familiarity with medical terminology.
    TempExperts is an Equal Opportunity Employer.
  • 1 Month Ago

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Assistant Director of Clinical Services
  • Elance at Sarasota
  • Sarasota, FL FULL_TIME
  • Retirement Unlimited is a premier Independent Living, and Assisted Living Community, that is seeking an Assistant Director of Clinical Services to join our team! As the Assistant Director of Clinical ...
  • 19 Days Ago

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Assistant Director of Clinical Services
  • Retirement Unlimited, Inc
  • Sarasota, FL FULL_TIME
  • Retirement Unlimited is a premier Independent Living, and Assisted Living Community, that is seeking an Assistant Director of Clinical Services to join our team! As the Assistant Director of Clinical ...
  • 19 Days Ago

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Assistant Director of Clinical Services
  • Aspire Health Group
  • Venice, FL FULL_TIME
  • Looking for a qualified Assistant Director of Clinical Services to join our family! $10,000 sign on bonus! We are searching for an Assistant Director of Clinical Services (ADCS/ADON) to join our commu...
  • 7 Days Ago

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Director of Rehabilitation Services
  • Lakeside Neurologic
  • Wauchula, FL FULL_TIME
  • We are a Skilled Nursing Facility in Central Florida. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed ca...
  • 9 Days Ago

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Director, Social Services
  • Brookdale Palmer Ranch
  • Sarasota, FL FULL_TIME
  • Job DetailsJoin the Brookdale Palmer Ranch team today! We are a 160 unit continuing care retirement community, or CCRC, which means we have Assisted Living, Memory Care and Skilled Nursing all on one ...
  • 10 Days Ago

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0 Reimbursement Services Director jobs found in Sarasota, FL area

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Director of Operations
  • Hutchinson Consulting
  • Sarasota, FL
  • Seeking a director of operations to be part of a well-funded, innovative new company made up of a group of unique concie...
  • 4/24/2024 12:00:00 AM

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Director of Development
  • Nate's Honor Animal Rescue
  • Sarasota, FL
  • Summary The Director of Development reports to the Executive Director and serves as a key leadership team member and an ...
  • 4/24/2024 12:00:00 AM

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Executive Director
  • The National Council Of Young Mens Christian Associations Of The United States Of America
  • Venice, FL
  • POSITION SUMMARY:This position supports the work of the Y, a leading nonprofit charitable organization committed to stre...
  • 4/24/2024 12:00:00 AM

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Executive Director
  • YMCA of Southwest Florida
  • Englewood, FL
  • Job Type Full-time Description POSITION SUMMARY: This position supports the work of the Y, a leading nonprofit charitabl...
  • 4/22/2024 12:00:00 AM

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RN Branch Director, Home Health
  • CenterWell Home Health
  • Bradenton, FL
  • Become a part of our caring community and help us put health first The Branch Director is accountable for managing the d...
  • 4/22/2024 12:00:00 AM

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Hospital Laboratory Director
  • HCA Florida Sarasota Doctors Hospital
  • Sarasota, FL
  • Description This position is incentive eligible. Introduction Do you have the career opportunities as a Hospital Laborat...
  • 4/21/2024 12:00:00 AM

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Director of Operations
  • Fil Staffing
  • Sarasota, FL
  • Director of Operations Fil Staffing is looking for a Director of Operations to join a concierge medicine provider and wo...
  • 4/21/2024 12:00:00 AM

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Program Director
  • Pace
  • Pinellas Park, FL
  • Starting Salary: $77,000 Position Summary At Pace we transform girls' lives through academic and counseling programs bas...
  • 4/21/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$143,243 to $203,981
Sarasota, 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