Reimbursement Services Director jobs in Springfield, 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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Reimbursement Officer
  • Illinois Department of Children and Family...
  • Springfield, IL FULL_TIME
  • Location:

    Springfield, IL, US, 62704

    Job Requisition ID: 37152

    Agency : Department of Children and Family Services

    Title: Reimbursement Officer I - Eligibility Determination Unit - Springfield
    Closing Date/Time: 05/03/2024
    Salary: Anticipated Starting Salary $4,439 monthly; Full Range $4,439 - $6,377 monthly.
    Job Type: Salaried
    County: Sangamon
    Number of Vacancies: 1
    Plan/BU: RC062

    PUC: 90683833

    DIVPIN: 200498

    This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

    All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.

    Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.

    Posting Identification Number 37152

    Position Overview

    The Illinois Department of Children and Family Services is seeking an organized, professional, and results oriented individual to serve as Reimbursement Officer. Under general supervision, this position will perform a variety of technical reimbursement duties in order to obtain reimbursement from the federal government for child care/administrative costs on all youth in care statewide. The position will complete initial applications to determine eligibility/claimability for Title IV-E, Medicaid, and Temporary Assistance for Needy Families Emergency Assistance on all new cases in which DCFS takes custody of a child. The position will also determine ongoing eligibility/claimability throughout the life of the case. This position provides a great opportunity for a motivated, detail-oriented individual who is interested in playing a role in the reimbursement process for the Department of Children and Family Services. DCFS offers a competitive compensation plan, excellent benefits, and a pension program. The ideal candidate for this position will have excellent organizational skills and communications skills. We invite you to join our innovative team to help make a positive difference in the lives of the children and families of Illinois.

    Job Responsibilities

    1. Serves as Reimbursement Officer, performs a variety of technical reimbursement duties in order to obtain reimbursement from the federal government for child care/administrative costs on all youth in care statewide, completes initial applications to determine eligibility/claimability for Title IV-E, Medicaid, and Temporary Assistance for Needy Families Emergency Assistance (TANF EA) on all new cases in which DCFS takes custody of a child and reviews and analyzes various data contained within the SACWIS system and communicates with caseworkers to obtain additional information to facilitate determination

    2. For all Title IV-E and Medicaid eligible youth in care, determines ongoing eligibility/claimability throughout the life of the case through the review and analysis of reports, change notices, and the monthly Streamline process

    3. Reviews and completes determination of Title IV-E eligibility on adoption assistance (AA) cases and completes redetermination at age 18

    4. Determines Medicaid eligibility for COBRA (Consolidated Omnibus Budget Reconciliation Act) for both the foster care and adoption assistance population of children placed out of state

    5. Completes and reviews all long term care budgeting and enrollment paperwork and maintains verbal and written contact with the DHS Long Term Care Unit for children placed in nursing homes or mental health facilities

    6. Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

    Minimum Qualifications

    1. Requires knowledge, skill, and mental development equivalent to completion of four years of college with courses in accounting, economics, or business administration, preferably including courses in insurance, estate, and probate law

    2. Requires ONE year of work in the reimbursement field

    Conditions of Employment

    1. Requires the ability to pass a background check

    2. Requires ability to travel

    About the Agency

    DCFS is deeply committed to the welfare and protection of children. Our goal is to protect children by strengthening and supporting families. In every effort, from receiving hotline calls to reaching family reunification or foster care and adoption, children and families are our focus. The Division of Budget and Finance plays a supporting role in the Department’s operations by working to ensure the agency’s financial stability and implementation of sound budgetary practices.

    Work Hours: Monday - Friday 8:30am - 5:00pm
    Work Location: 726 S College St, Springfield, Illinois, 62704

    Supervisor: Bethany Garthaus
    Agency Contact:

    Fisayo Oyadeyi

    Email: Fisayo.Oyadeyi@illinois.gov

    Posting Group: Social Services

    This position DOES NOT contain “Specialized Skills” (as that term is used in CBAs).

    Job Type: Full-time

    Pay: $53,268.00 - $76,524.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Paid time off
    • Parental leave
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Education:

    • Bachelor's (Required)

    Ability to Relocate:

    • Springfield, IL 62704: Relocate before starting work (Required)

    Work Location: In person

  • 2 Days Ago

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REIMBURSEMENT OFFICER
  • State of Illinois
  • Springfield, IL FULL_TIME
  • Agency : Department of Children and Family Services Title: Reimbursement Officer I - Eligibility Determination Unit - Springfield Closing Date/Time: 05/03/2024 Salary: Anticipated Starting Salary $4,4...
  • 2 Days Ago

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Reimbursement Supervisor
  • Orthopedic Center of Illinois
  • Springfield, IL FULL_TIME
  • THE POSITION Orthopedic Center of Illinois (OCI) seeks an experienced medical billing professional to lead our reimbursement team. This position will give the right candidate the opportunity to apply ...
  • 4 Days Ago

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REIMBURSEMENT OFFICER
  • illinois
  • Springfield, IL FULL_TIME
  • Agency : Department of Children and Family Services Title: Reimbursement Officer I - Eligibility Determination Unit - Springfield Closing Date/Time: 05/03/2024 Salary: Anticipated Starting Salary $4,4...
  • 4 Days Ago

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Reimbursement Specialist
  • Cancer Care Specialists Of Illinois
  • Decatur, IL FULL_TIME
  • SUMMARY: Under the general supervision of the Director of Business Office Services, the Reimbursement Specialist- Cash Posting Specialist is responsible for managing patient balances, accurately and t...
  • 25 Days Ago

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Reimbursement Specialist
  • CANCER CARE SPECIALISTS OF ILLINOIS
  • Decatur, IL OTHER
  • Job Details Job Location: CCSI Decatur - Decatur, IL Salary Range: Undisclosed Reimbursement Specialist - Cash Posting SUMMARY: Under the general supervision of the Director of Business Office Service...
  • 25 Days Ago

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0 Reimbursement Services Director jobs found in Springfield, IL area

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Area Business Director, Chicago
  • Sanofi Group
  • Springfield, IL
  • Sanofi Group Area Business Director, Chicago Springfield , Illinois Apply Now Travel: Ability to travel up to 75% of the...
  • 4/24/2024 12:00:00 AM

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Area Business Director, Denver
  • Sanofi Group
  • Springfield, IL
  • Sanofi Group Area Business Director, Denver Springfield , Illinois Apply Now Travel: Ability to travel up to 75% of the ...
  • 4/24/2024 12:00:00 AM

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Area Business Director, Phoenix
  • Sanofi Group
  • Springfield, IL
  • Travel: Ability to travel up to 75% of the time to coach Area Business Managers, see customers, and attend conventions, ...
  • 4/24/2024 12:00:00 AM

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Director, Systems Engineering
  • Humana
  • Springfield, IL
  • 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

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Sales Director
  • Xiamen Leedarson I/e Co., Ltd.
  • Atlanta, IL
  • Position Title: Sales Director Department: Residential Lighting BU Position Reports To: Sales/Product Director Key Job R...
  • 4/24/2024 12:00:00 AM

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Director Paid Media
  • Sedgwick
  • Springfield, IL
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A c...
  • 4/23/2024 12:00:00 AM

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Area Business Director, Nashville
  • Sanofi Group
  • Springfield, IL
  • Sanofi Group Area Business Director, Nashville Springfield , Illinois Apply Now Travel: Ability to travel up to 75% of t...
  • 4/23/2024 12:00:00 AM

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Area Business Director, Atlanta
  • Sanofi Group
  • Springfield, IL
  • Travel: Ability to travel up to 75% of the time to coach Area Business Managers, see customers, and attend conventions, ...
  • 4/23/2024 12:00:00 AM

Springfield is the capital of the U.S. state of Illinois and the county seat of Sangamon County. The city's population of 116,250 as of the 2010 U.S. Census makes it the state's sixth most populous city. It is the largest city in central Illinois. As of 2013, the city's population was estimated to have increased to 117,006, with just over 211,700 residents living in the Springfield Metropolitan Statistical Area, which includes Sangamon County and the adjacent Menard County. Present-day Springfield was settled by European Americans in the late 1810s, around the time Illinois became a state. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$146,105 to $208,057
Springfield, 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