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 ensuring optimal and timely reimbursement by maintaining accurate client eligibility information, resolving errors before claims are filed, and following up on claims, denials, payer correspondence, and authorizations. Work closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity.
Requirements: Requires High School diploma or equivalent. Preferably a minimum of two years in Medicare, Medicaid and other third party billings within an outpatient behavioral health setting. Knowledge and understanding of HIPAA laws and client privacy. Proficient in communication, customer service, internal and external and the ability to manage time. Strong organizational skill and detail oriented is a must. Ability to function independently, and work well with others. Must be efficient, timely and accurate in all duties and responsibilities. Must conduct self professionally, maintain confidentiality, and have strong computer skills.
0 Reimbursement Services Director jobs found in Tulsa, OK area