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)
Responsible for administration and supervision of the program. Supervises staff, and monitors statistical information. Represents program in the community, as requested. Responsible for planning, developing & evaluating program to meet overall organizational goals/objectives. Provides after hours coverage as appropriate and as indicated. Follows all PI, HR, budget, contract requirements pursuant to the daily operations related to program functioning. Ensures program maintains daily census pursuant to contract requirements. Demonstrates the knowledge and skills necessary to provide care appropriate to any age-related needs of the consumers served. Manages budgets and financial responsibilities for programs and ensures billing is completed weekly and followed up on. Prepares budget and monthly variance reports. On call duties. Develops crisis plans as needed. Provides 24/7 eyesight supervision of consumers. Responsible for ensuring case management duties are completed and compliant with regulations and policies.
This Stabilization and Assessment program serves children and youth who have Intellectual and Developmental Disabilities. Through assessment and therapeutic, behavioral and medical interventions, a multidisciplinary team works to stabilize each youth and help them transition back to their families or to a lower level of care. This structured program includes education and/or vocational training, community involvement, nursing, life skills and social skills training. Therapy is provided to both the youth and their family.
Hours:
Full time; some evening hours, on-call responsibilities.
Full time benefits include:
Education/Experience:
Master’s Degree with at least 3 years of experience with youth/adolescents required. Supervisory experience required.
Legacy Treatment Services is an Equal Opportunity Employer.
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