Reimbursement Services Director jobs in Sumter, SC

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

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Director of Social Services
  • NHC HealthCare Sumter
  • Sumter, SC FULL_TIME

  • Position: Director of Social Services - Full Time

    Don't miss this great opportunity to join our team as Director of Social Services at NHC HealthCare Sumter.

    Why NHC?
    We offer a culture of recognition, empowerment, and fun. At NHC, we are all partners (employees) in a family – oriented work atmosphere where growth and opportunities are promoted. We provide competitive compensation with performance wage rate increases.

    The qualified applicant for this position should possess:

    • Degree in Social Work from a school or university accredited by the council on Social Work education - preferable MSW, but BSW encouraged to apply
    • Knowledge of the medical case management process, needs of geriatric patients, health care settings, working knowledge of funding resources such as Medicare Part A, B, C, ad D, Medicaid, Managed Care and other private insurances
    • Imagination and creative ability, skill in working cooperatively with other professionals, ability to organize and carry out responsibilities efficiently and effectively
    • Ability to communicate effectively and appropriately both verbally and in writing in a wide variety of circumstances
    • Long Term Care experienced preferred

    Position Highlights:

    • Implementing a comprehensive social services program that provides support services for patients and families in the center
    • Demonstrating teamwork characteristics by building a positive team approach
    • Ensuring the quality of social services rendered by the center
    • Understanding and abiding by established policies of the health care center and interpret them to concerned parties
    • Providing direction to department in meeting center's goals and objectives
    Requirements:
    • MSW preferred, BSW encouraged
    • Long term care experience preferred

    Benefits:
    Earned Time Off
    Holiday Incentive Pay
    Health, Dental, Vision, Disability and Life insurance
    401k with generous company contributions
    Competitive Pay
    Tuition Reimbursement Opportunities
    Advancement Opportunities

    NHC HealthCare Sumter is located at 1018 North Guignard Drive Sumter, SC 29150

    If you are interested in working for a leader in senior care, share NHC's values of honesty and integrity and have a heart for the geriatric patient, please apply today and find out more about us at nhccare.com/locations/sumter/

    We look forward to talking with you! NHC is an Equal Opportunity Employer.

    Skills

    Preferred
    • Training - Social Services
  • 11 Days Ago
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Director of Social Services
  • NHC and Affiliates
  • Sumter, SC FULL_TIME
  • Position: Director of Social Services - Full Time Don't miss this great opportunity to join our team as Director of Social Services at NHC HealthCare Sumter. Why NHC?We offer a culture of recognition,...
  • 11 Days Ago
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Membership Services Director
  • South Carolina Waterfowl Association
  • Pinewood, SC FULL_TIME
  • The position exists to provide quality service to SCWA members. SCWA’s foundation and strength comes from developing and maintaining a strong membership base. The position provides accurate and timely...
  • 13 Days Ago
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Director of Nursing Services
  • Sumter East Health & Rehabilitation Center
  • Sumter, SC FULL_TIME
  • Purpose of Your Job Position The primary purpose of your position is to plan, organize, develop, and direct the overall operation of our Nursing Service Department in accordance with current federal, ...
  • 1 Month Ago
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Women and Children's Services RN Director
  • Clinical Management Consultants
  • Andrews, SC FULL_TIME
  • A top-notch hospital is actively interviewing for a Women and Children's Services RN Director to lead this robust service line. This is a wonderful opportunity for an experienced Labor and Delivery Nu...
  • 1 Month Ago
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Physical Therapist - Sign-On Bonus or Loan Reimbursement Available!
  • JobRapido
  • vance, SC FULL_TIME
  • Overview: This position is eligible for a Sign-On Bonus or Loan Reimbursement Stronger Together: ATI is the largest outpatient physical therapy company under one brand, growing to over 900 locations i...
  • 2 Months Ago
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0 Reimbursement Services Director jobs found in Sumter, SC area

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Managing Director
  • Transamerica Premier Life Insurance Company
  • Columbia, SC
  • The Managing Director is responsible for growing the business of the District Office by developing new quality sales, co...
  • 4/24/2024 12:00:00 AM
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DEPUTY DIRECTOR OF COMMUNICATIONS
  • Air Combat Command
  • Shaw A F B, SC
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/22/2024 12:00:00 AM
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Director of Machine Shop
  • Nephron Pharmaceuticals
  • West Columbia, SC
  • Position Summary: The primary responsibility of the director of the machine shop is the overseeing of the setup and oper...
  • 4/22/2024 12:00:00 AM
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Donor Center Director
  • Octapharma
  • Orangeburg, SC
  • How to Maximize your opportunity to do rewarding work, your future leadership potential, and your career growth? Join an...
  • 4/22/2024 12:00:00 AM
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Director of Social Services
  • NHC
  • Sumter, SC
  • Position: Director of Social Services - Full Time Don't miss this great opportunity to join our team as Director of Soci...
  • 4/21/2024 12:00:00 AM
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Director, Capture
  • Amentum
  • Columbia, SC
  • Job Description Amentum is seeking a full-time **Capture Manager** to lead and support growth in its Critical Missions/S...
  • 4/20/2024 12:00:00 AM
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Director of Facilities
  • Allen University
  • Columbia, SC
  • For a description, see file at: https://allenuniversity.edu/s/Facilities-Director-Job-Description.pdf
  • 4/20/2024 12:00:00 AM
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Director of Business Development
  • Cayuse Holdings
  • Columbia, SC
  • **Overview** The Business Development Director - Department of Defense (DOD) - Missions & Programs - Business Developmen...
  • 4/20/2024 12:00:00 AM
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About Sumter, South Carolina

Sumter /ˈsʌmtər/ is a city in and the county seat of Sumter County, South Carolina, United States. Known as the Sumter Metropolitan Statistical Area, the namesake county adjoins Clarendon and Lee to form the core of Sumter-Lee-Clarendon tricounty area of South Carolina that includes the three counties in the east central Piedmont. The population was 39,643 at the 2000 census, and it rose to 40,524 at the 2010 census. Known as the Gamecock City,[citation needed] Sumter lies near the geographic center of the state of South Carolina at 33°55′37″N 80°21′49″W / 33.92694°N 80.36361°W / 33.92694; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$134,658 to $191,755
Sumter, South Carolina area prices
were up 1.5% from a year ago
View detail

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