Reimbursement Services Director jobs in Stockton, CA
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)
Recently Added Reimbursement Services Director jobs
Director of Student Health Services
- University of the Pacific
-
Stockton, CA
FULL_TIME
-
Primary Purpose:
The Director of Student Health Services is a health care professional responsible for the administration of health services on Pacific's three campuses. Coordinates with the Director of Counseling and Psychological Services (CAPS) to ensure continuity and coordination of care. Provides leadership and supervision to the Health Services team. Oversees administration of policies and procedures, budget, billing, student health insurance plan and health records management. Coordinates and contributes to Health Services outreach activities. Reports to the Vice President for Student Life and serves as part of the Executive Management Group.
Essential Functions:
Oversees the delivery of health services through health clinics and manages the daily operations of Health services to ensure compliance with internal policies and procedures, and with laws governing health care facilities and providers.
Provides overall supervision of clinic staff ensuring necessary coverage for delivery of services across three campuses. Leads staff orientation, development, and retention efforts for Health Services. Provides annual staff performance evaluation. Cultivates a cohesive service delivery team.
Collaborates with Director of CAPS to ensure responsiveness of front desk operations, coordinate coverage across departments and serve Pacific students effectively.
Maintains relationship with area health care providers and facilities ensuring continued coordination of care for Pacific students. Consults with outside vendors to obtain medications, vaccines, supplies and services. Collaborates with consulting physicians regarding quality assurance and compliance.
Oversees the management of resources for Health Services, including the budget, equipment, pharmaceutical, medical, building and office supplies, and facility for clinics on three campuses. Collaborates with Director of CAPS to make informed resource decisions. Helps negotiate student health insurance options and coverage with assistance from a broker.
Ensures Nurse Practitioner policies and procedures are reviewed and updated as needed to comply with laws and regulations governing medical providers and facilities.
Provides medical treatment to students as needed following standard medical practices allowed under licensure and/or at the direction of treating/consulting physician. Provides preventive health care information and guidance; refers patients to other healthcare professionals and facilities, as indicated; diagnosis and treatment of common, acute illness, injuries; and management and follow-up of chronic diseases. Completes timely, accurate documentation of student medical records and related forms.
Collaborates with campus partners and outside partners to administer special programs as needed. Oversees the administration of clinics and staff to ensure electronic records management adheres to privacy laws and other relevant regulations; the administration of the immunization policy and ensure students comply with policy; the administration of annual athletic physicals and ongoing care of student athletes.
Responsible to support division in areas of strategic planning and outcome assessment of program, accreditation process, and develop and administer outreach activities.
Responsible for coordinating emergency efforts with CDC and local agencies regarding the threat of outbreaks and manages the details involved with our three campuses. Oversees clinic operations necessary for students, employees and University community.
Engages in continual updates of healthcare knowledge and skills related to work with college students.
Performs other duties as assigned or requested.
University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty and staff.
Minimum Qualifications:
Five (5) years of experience as a supervisor in a clinic or medical unit, or Masters Degree in Public Health Administration.
Possess relevant licensure to practice as a Nurse Practitioner or Physician in the state of California or the ability to secure California license within 12 months of hire.
Preferred Qualifications:
Experience in Higher Education setting.
Skills/Knowledge and Expertise:
Knowledge of student development and health care needs of college students, management of multi-site clinics, electronic record management systems, and extensive coordination of care.
Demonstrated ability in outcome assessment.
Knowledge of healthcare systems.
Experience and sensitivity in working with people of diverse backgrounds and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
Ability to engage and integrate culturally responsive practices and knowledge in their work.
Physical Requirements:
The physical demands described here are representative but not definitive of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequent standing and walking, occasional sitting, computer, and phone use. May be requested to lift up to 25 lbs. Occupational exposure to blood-borne and body fluid pathogens may reasonably be anticipated. Personal protective equipment will be provided to reduce or eliminate exposure to routine or limited infectious agents.
Work Environment/Work Week/Travel:
Work performed in a clinical environment. Work performed during standard clinic hours, may require additional hours to meet business needs and occasionally requires work out-of-doors with exposure to warmer or cooler temperatures. Additional evening and/or weekend hours may be required to support department, division, and University programs, projects, and initiatives. Some travel may be required including to other campuses.
Hiring Range: Commensurate with experience, exempt
Background Check Statement:
All applicants who receive a conditional offer of employment are required to execute a release and authorization for a background screening.
To apply, visit https://pacific.peopleadmin.com/postings/22595
University of the Pacific is an affirmative action and equal opportunity employer dedicated to workforce diversity. In compliance with applicable law and its own policy, Pacific is committed to recruiting and retaining a diverse faculty and staff and does not discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability.
jeid-7733165779cc3c44add1eb95ae7699de - 15 Days Ago
Social Services Director SNF
- Sweetwater Care
-
Stockton, CA
FULL_TIME
- Required Qualifications High School diploma Social Service Director Certification One year of supervised social work experience in a health care setting working directly with individuals. Key Tasks an...
- 17 Days Ago
Director of Emergency Services RN
- Impact Solutions Inc
-
Manteca, CA
FULL_TIME
- Director of Emergency Services RNManteca, CA$140-200K Signing Bonus Paid Relocation Full Benefits Signing BonusFULL TIME: DAYS Summary The Director of Emergency Services (Registered Nurse) is accounta...
- 18 Days Ago
Director of Rehab Services
- Rancho Seco Care Center
-
Galt, CA
FULL_TIME
- Responsible for the following rehabilitation services: Rehabilitation, Therapy including Physical Therapy, Occupational Therapy and Speech Therapy. With the direction from the Administrator, the posit...
- 2 Days Ago
DOR DIRECTOR OF REHAB SERVICES
- Sweetwater Care
-
Stockton, CA
FULL_TIME
- POSITION DESCRIPTION Responsible for the following rehabilitation services: Rehabilitation, Acute Therapy including Physical Therapy, Occupational Therapy and Speech Therapy. With the direction from t...
- 3 Days Ago
Culinary Services Director
- Solstice Senior Living at Lodi
-
Lodi, CA
FULL_TIME
- Culinary Services Director SUMMARY of Duties The Culinary Services Director is responsible for planning, organizing, developing, and directing the overall operations of the Culinary Department in acco...
- 5 Days Ago
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0 Reimbursement Services Director jobs found in Stockton, CA area
Pharmacy Director
- Encompass Health
-
Modesto, CA
- Salary Range $180k - $200k A better team approach A better result for patients BE THE CONNECTION. As pharmacy director, ...
- 4/22/2024 12:00:00 AM
Community Director
- The Lewis Group Of Companies
-
Sacramento, CA
- COMMUNITY DIRECTOR- Sacramento, CA Lewis Apartment Communities, a division of one of the largest Real Estate developers ...
- 4/22/2024 12:00:00 AM
Executive Director
- Tarantino Properties, Inc.
-
Sacramento, CA
- Job Type Full-time Description Tarantino Properties is a full-service real estate company specializing in income produci...
- 4/21/2024 12:00:00 AM
Legislative Director
- Asian Americans Advancing Justice - Asian Law Caucus
-
Sacramento, CA
- Position: Legislative Director Type: Regular, Exempt, Full Time Position Location: Based in Sacramento, CA, Hybrid work ...
- 4/20/2024 12:00:00 AM
Director of Operations
- Konnected Agency
-
Hayward, CA
- Our client is the industry leading manufacturer of fine quality custom closets, garage systems, home offices, and organi...
- 4/20/2024 12:00:00 AM
Director of Sales
- Sunrise Senior Living
-
Danville, CA
- Overview Compensation listed is base only. Additional compensation available through bonus and commission. "Sunrise is t...
- 4/12/2024 12:00:00 AM
Director, Commercial Excellence
- Abbott Laboratories
-
Pleasanton, CA
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
- 1/29/2024 12:00:00 AM
Assistant Director, Engineering
- Great Wolf Lodge
-
MANTECA, CA
- Pay: $80000 per year - $90000 per year At Great Wolf, the Assistant Director of Engineering supervises maintenance opera...
- 1/26/2024 12:00:00 AM
About Stockton, California
Stockton is the county seat of San Joaquin County in the Central Valley of the U.S. state of California. Stockton was founded by Captain Charles Maria Weber in 1849 after he acquired Rancho Campo de los Franceses. The city is named after Robert F. Stockton, and it was the first community in California to have a name not of Spanish or Native American origin. The city is located on the San Joaquin River in the northern San Joaquin Valley and had an estimated population of 320,554 by the California Department of Finance for 2017. Stockton is the 13th largest city in California and the 63rd larges...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$161,469 to $229,935
Stockton, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Reimbursement Services Director do?
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