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)
Primary Scheduled Hours: Full time 80 hours - Exempt
Job Summary:
Actively involved, at the executive level, in the leadership of the organization. Organizes and administers areas of Resident Care Services to attain the facility's objectives established by the Governing Body. Manages nursing services on a 24-hour basis for a group of clinical services. Plans and supervises patient care, manages nursing and support personnel assuring that appropriate continuing education is maintained, and resolves emergency and problem situations. Responsibility typically includes developing or contributing to annual operating budget and monitoring expenses within prescribed parameters.
Who are we?
Education Background and Experience
Minimum Education: |
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Required Licensure / Certifications: |
Active WAState or Multi-state compact RN license with the authority to work in WAState |
Required Experience: |
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Preferred Qualifications: |
Master's Degree |
Professional Requirements
Essential Job Functions
Successful candidates typically begin between the beginning and midpoint of the compensation range ($96,437.96 - $122,149.46/ annually) dependent on qualifications/experience and receive compensation increment increases annually.
Qualified employees of Newport Hospital & Health Services are offered the following benefits:
Newport Hospital & Health Services (NHHS)is committed to a diverse and inclusive workplace. NHHS is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.
NHHS employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services.
NHHS is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resources at 509-447-6320.
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