Reimbursement Services Director jobs in Springfield, MO

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 Analyst
  • CoxHealth
  • Springfield, MO FULL_TIME
  • Summary

    • Best in Class Work Environment
      • 5x Modern Healthcare Best Places to work
      • America’s Greatest Workplaces 2023 – Newsweek
      • Best Employers for New Grads 2023- Forbes
      • Greatest Workplace for Women 2023 - Newsweek
      • Benefits .
        • Robust, fully customizable benefits package including Medical/Vision/Dental and more!
          • No cost eCare visits
          • Employer-provided mental health services for employees and eligible family members
        • Retirement with employer match 
        • Tuition discounts and reimbursement available for continuing your education
        • Free and convenient parking
        • CoxHealth Fitness Center and Child Care discounts
        • Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
    • Job Summary
      • The CoxHealth Network finance team is responsible for various functions and support related to all CoxHealth entity provider reimbursement process evaluation, financial reporting and analysis. The reimbursement analyst must have a working knowledge of managed care, governmental and other third party payer reimbursement and payment terms. This position serves as primary back-up to Contract Finance Director, completing complex contract modeling and analysis.  They must possess strong analytical skills with the ability to identify and trouble-shoot inefficiencies and issues, research and make recommendations for improvement, facilitate changes, and be able to communicate effectively with stakeholders. The primary responsibilities of this position include, but are not limited to, contract fee schedule analysis, construction of reimbursement scenarios, compiling and maintaining financial data used in third party payer agreements, contract modeling, contract review and all CoxHealth Network accounts payable and accounts receivable
    • Job Requirements
      • Education
        • Required: Bachelor’s Degree in Finance, Business, Healthcare, or a related field or 8 years related experience
      • Experience
        • Preferred: Demonstrated experience with healthcare or insurance financial analysis.
      • Skills
        • Strong interpersonal and communication skills with ability to effectively present and interact with all levels of the organization 
        • Ability to work collaboratively as either a facilitator or participant on projects that involve multiple stakeholders, while promoting positive and effective working relations
        • Ability to inform and educate others, including training of new staff, on procedures and concepts
        • Ability to write effective summary level documentation for clear and concise communication of data analyzed
        • Ability to create, implement and optimize stakeholder reporting
        • Highly proficient in all aspects of MS Office Highly proficient in Excel with ability to create, modify and trouble-shoot spreadsheets for data analytics.
        •  
          Strong analytical skills to be able to analyze complex data and all type of provider reimbursement.
        • Highly productive in a self-directed manner with ability to coordinate projects, prioritize tasks, track status efficiently, and demonstrate defensible judgement in making independent decisions
        • Effective time management and prioritization skills to permit handling of a large workload across multiple projects and multiple departments
      • Licensure/Certification/Registration
        • N/A
  • 11 Days Ago

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Reimbursement Representative
  • Citizens Memorial
  • Bolivar, MO FULL_TIME
  • Citizens Memorial Hospital is seeking a Reimbursement Representative within the Clinic Central Billing Department A typical day includes:Performng billing functions related to the clinics; actively an...
  • Just Posted

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Director of Clinical Services
  • UHS
  • NEVADA, MO FULL_TIME
  • Responsibilities Director of Clinical Services Opportunity - Offering $20,000 Sign-on Bonus! Heartland Behavioral Health Services has been providing care for children and adolescents for over 100 year...
  • 13 Days Ago

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Director of Social Services
  • Big Spring Care Center for Rehab & Healthcare
  • Humansville, MO FULL_TIME
  • If you are looking for "just another job", you've come to the wrong place! If you are looking for a new career, a job that doesn't feel like work, and you want to be surrounded by inspiring, forward t...
  • 13 Days Ago

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Director of Nutrition Services
  • Opaa!
  • Billings, MO FULL_TIME
  • POSITION SUMMARY: The Director of Nutrition Services is responsible for the overall management of the school district’s child nutrition program in accordance with Opaa! policies, procedures, client po...
  • 14 Days Ago

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Director of Support Services
  • Clark Community Mental Health
  • Monett, MO FULL_TIME
  • Job purpose The Director of Support Services acts to ensure front office operations with reception functions, support staff and screeners. Duties and responsibilities Supervise support staff and scree...
  • 15 Days Ago

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0 Reimbursement Services Director jobs found in Springfield, MO area

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Senior Director, Financial Planning
  • EDWARD JONES
  • Springfield, MO
  • Join a financial services firm where your contributions are valued. Edward Jones is a Fortune 500 company where people c...
  • 4/18/2024 12:00:00 AM

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Obgyn Surgery Director
  • Jordan Valley Community Health Center
  • Springfield, MO
  • OB/GYN Surgery Director Springfield, Missouri Salary Range $375,000 to $425,000 plus incentives and sign-on bonus Gradua...
  • 4/16/2024 12:00:00 AM

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Obgyn Surgery Director
  • Jordan Valley Community Health Center
  • Springfield, MO
  • OB/GYN Surgery Director Springfield, Missouri Salary Range $375,000 to $425,000 plus incentives and sign-on bonus Gradua...
  • 4/16/2024 12:00:00 AM

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Director of Sales
  • Zimmer Communications
  • Springfield, MO
  • Key Responsibilities Business to business sales, with superior management of both large and small accounts Prospecting, ...
  • 4/16/2024 12:00:00 AM

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Director of Assessment, Accreditation, and Curriculum - West Plains
  • Missouri State University
  • Springfield, MO
  • Posting Details Position Information Position Title Director of Assessment, Accreditation, and Curriculum - West Plains ...
  • 4/15/2024 12:00:00 AM

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Worship Leader - Full time
  • James River Church
  • Ozark, MO
  • Job Type Full-time Description Job Summary The Worship Leader will provide support to the Executive Worship Director at ...
  • 4/15/2024 12:00:00 AM

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Director of Sales
  • Zimmer Communications
  • Springfield, MO
  • Key Responsibilities Business to business sales, with superior management of both large and small accounts Prospecting, ...
  • 4/14/2024 12:00:00 AM

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Seeking Seasoned Anesthesiologist for Medical Director Position - Lead Our Expanding CRNA Team
  • Citizens Memorial Hospital
  • Bolivar, MO
  • Citizens Memorial Hospital in Bolivar, MO is recruiting a Board Certified Anesthesiologist to lead the Anesthesiology de...
  • 4/14/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$135,411 to $192,828
Springfield, Missouri 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