Reimbursement Services Director jobs in Temecula, 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)

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Corporate Manager Government Reimbursement and Reporting
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Manager Government Reimbursement and Reporting
    Facility Prime Healthcare Management Inc
    Location US-CA-Ontario ID 2024-149217 Category Manager Position Type Full Time Shift Days Job Type Exempt
    Overview

    Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities

    The Corporate Manager Government Reimbursement and Reporting will have understanding and realization of various state and federal reimbursement programs and ensure compliance with all related reporting and attestations including cost reports, government stimulus and state supplemental payment programs.

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING


    Required qualifications:

    1. Minimum of a BS/BA in Business, Finance, Accounting, or related field.
    2. Must have minimum of 5 - 10 years healthcare finance experience with demonstrated knowledge of cost reporting and government payer oversight. Specifically, has experience working on Medicare bad debts, DSH, S-10 logs, Interns & Residents, and cost report reserves.
    3. Must have multi-state experience, ideally in CA, TX, NJ, and PA.
    4. Must have experience in financial analysis and cost accounting.
    5. Must be familiar with Medicare rules and guidelines for cost reporting

    Preferred qualifications:

    1. Experience with HFS cost reporting software.
    2. Able to interact with various patient accounting systems
    3. Working knowledge of Excel.

    #LI-LA1

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $71,635.20 to $107,452.80 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Connect With Us!
    Not ready to apply? Connect with us for general consideration.


    We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, sexual orientation, gender, gender identity, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources:
    hr-prime@primehealthcare.com

     

  • 14 Days Ago

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Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Senior Government Reimbursement Specialist Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-150769 Category Business Professional Position Type Full Time Shift Days Jo...
  • 21 Days Ago

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Director of Shared Services
  • PHS Bio-Medical Services
  • Ontario, CA FULL_TIME
  • Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, cap...
  • 12 Days Ago

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Director of Shared Services
  • Bio-Medical Services, Inc.
  • Ontario, CA FULL_TIME
  • Director of Shared Services Facility PHS Bio-Medical Services Location US-CA-Ontario ID 2023-140097 Category Director Position Type Full Time Shift Days Job Type Exempt Overview Join our team of dedic...
  • 9 Days Ago

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Regional Family Services Director
  • Marsell Wellness Center
  • ONTARIO, CA FULL_TIME
  • JOB DESCRIPTION Job Title: Regional Family Services Director Department: Family Services Location: Southern California Reports To: Vice President, Family Services FLSA Status: Exempt Remote Status: Re...
  • 14 Days Ago

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Director Nursing & Clinical Services
  • Kindred Hospital Riverside
  • Perris, CA OTHER
  • DescriptionScionHealth is committed to a culture of service excellence as demonstrated by our employees’ adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respe...
  • 14 Days Ago

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0 Reimbursement Services Director jobs found in Temecula, CA area

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Case Management Director II
  • Encompass Health
  • Murrieta, CA
  • Salary Range: $115k - $130k As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for t...
  • 4/19/2024 12:00:00 AM

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Development Director
  • American Heart Association
  • La Jolla, CA
  • **Overview** As we celebrate our Centennial year, we invite you to join us in shaping the next century of impact. Be a r...
  • 4/19/2024 12:00:00 AM

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Executive Director
  • AMIHA
  • Temecula, CA
  • Job Description Job Description Executive Director Reports to: Board of Commissioners Status: Full-Time/Exempt/Salary Ge...
  • 4/18/2024 12:00:00 AM

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Chess Tournament Director
  • Temecula Chess Club
  • Temecula, CA
  • Job Description Job Description JOB SUMMARY We are looking for a Chess Tournament Director (TD) to join our team. The su...
  • 4/18/2024 12:00:00 AM

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Executive Director
  • Ivy Living
  • Huntington Beach, CA
  • Executive Director Ivy Park at Huntington Beach is a premier senior living community situated on a beautifully landscape...
  • 4/18/2024 12:00:00 AM

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Managing Director
  • GFD Finaeon
  • Irvine, CA
  • Managing Director – Global Financial Data Company Overview: Global Financial Data (GFD) is a leading market data provide...
  • 4/15/2024 12:00:00 AM

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Clinic Director
  • Rancho Physical Therapy
  • Temecula, CA
  • Job Description Job Description We are seeking a Clinic Director/Physical Therapist to join our team! You will plan phys...
  • 4/15/2024 12:00:00 AM

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Activity Director
  • Sunrise Senior Living
  • Mission Viejo, CA
  • Overview "Sunrise is the best place that I've ever worked, simply because of the people. We provide quality care in an e...
  • 4/8/2024 12:00:00 AM

Temecula /təˈmɛkjʊlə/ is a city in southwestern Riverside County, California, United States. The city is a tourist destination, with the Temecula Valley Wine Country, Old Town Temecula, the Temecula Valley Polo Club, the Temecula Valley Balloon & Wine Festival, the Temecula Valley International Film Festival, championship golf courses, and resort accommodations for tourists which contribute to the city's economic profile. The City of Temecula, forming the southwestern anchor of the Inland Empire region, is approximately 58 miles (93 km) north of downtown San Diego and 85 miles (137 km) southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$160,866 to $229,077
Temecula, California area prices
were up 3.0% 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