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)
Child Protective Services (CPS) Investigators investigate claims of child abuse and neglect. They have the difficult task of figuring out what happened and predicting what will happen in the future. CPS receives and investigates reports of abuse and neglect 24 hours per day, every day of the year.
A CPS investigation includes interviewing and gathering information to see if abuse or neglect happened and if intervention is necessary. The investigator considers both risk and safety issues, and may recommend services for the child and family to reduce the risk of further abuse or neglect.
WHY WORK FOR DFPS?
The Texas Department of Family and Protective Services (DFPS) is responsible for protecting the unprotected — children, elderly, and people with disabilities — from abuse, neglect, and exploitation. DFPS accomplishes this responsibility by employing over 12,000 workers who live up to the agency's Mission, Vision, & Values in service to the citizens of Texas.
DFPS is not only a qualifying organization for the Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments, but also offers excellent health benefits, special discounts on many products and services through the Discount Purchase Program, a lifetime monthly retirement annuity as well as Texa$aver 401(k) and 457 Programs under the Employees Retirement System of Texas. An additional benefit you will receive is 12 days of paid annual leave, 12 sick days, and the potential to earn up to four days of administrative leave each year. Your annual paid leave accrual increases as your tenure increases.
Newly hired employees holding a Master's Degree in Social Work may qualify for an increase at the point of hire.
Essential Job Functions:
Knowledge Skills Abilities:
Registration or Licensure Requirements:
This position requires use of the applicant's personal motor vehicle to complete job functions.
Applicants for positions must have a reliable motor vehicle and acceptable driving record for the past five years, and a current, valid Texas driver's license appropriate for the vehicle and passenger or cargo load. Applicants must provide proof of driving record, insurance and license.
Initial Selection Criteria:
Child Protective Services Specialist I:
Examples of relevant work experience in social, human, or protective services include paid or volunteer work within social service agencies or communities providing services to families or other at-risk populations.
PHYSICAL REQUIREMENTS:
These requirements are not exhaustive, and additional job related physical requirements may be added to these by individual agencies on an as needed basis. Corrective devices may be used to meet physical requirements. These are typical requirements; however, reasonable accommodations are possible.
Physical Activities: He/she is frequently asked to stand, hear and talk; he/she is occasionally asked to climb.
Physical Demands: The incumbent typically performs work that requires him/her to exert up to 20 pounds occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Visual Requirements: The incumbent must be able to see objects clearly at 20 inches or less, and at 20 or more feet. In addition, he/she must be able to adjust his/her eyes to bring objects into focus, distinguish colors, see objects in his/her peripheral vision, and see objects in three dimensions.
Working Conditions: He/she typically works in a mobile environment (the majority of work is performed outside of the office environment) and is exposed occasionally to adverse environmental conditions including, but not necessarily limited to, extreme heat, wetness and humidity, chemicals, close quarters, gases and heights.
Interview Requirements:
Any candidate who is called to an agency for an interview must notify the interviewing agency in writing of any reasonable accommodation needed prior to the date of the interview.
Additional Information:
Applicants selected for this position are also eligible to receive a $416.66 monthly increase in addition to the base salary. Applicants hired into an investigative position will receive this increase the first of the month following 120 days of tenure. Once employed, the incumbent must remain in an investigative position to continue to receive the additional pay.
This position will be in a mobile unit which means the majority of the work will be conducted using mobile technology, such as a tablet, while away from the office. Being mobile requires working independently yet still being responsive to supervision and your assigned unit.
Newly hired DFPS employees in eligible positions will be assigned a DFPS cellular phone.
COMPETENCIES REQUIRED/ACQUIRED DURING THE FIRST FEW MONTHS OF EMPLOYMENT:
PROCESS COMPETENCIES
A process competency refers to a general approach to practice that can be observed in a newly hired CPS Specialists' interactions with children, families, and safety networks.
Engaging
Teaming
Assessing
Planning
Intervening
Evaluating
CONTENT COMPETENCY
A content competency refers to a specialized domain of knowledge that should be integrated into process competencies.
Domestic Violence
Mental Health
Substance Abuse
PROFESSIONAL COMPETENCIES
Demonstrates a basic understanding of the following
Establishes Effective Relationships with Colleagues
Follows policy and procedures
Documenting
Managing Time
MOS Code:
Note: There are no direct military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty, reservists, guardsmen, and veterans are encouraged to apply.
Job Type: Full-time
Salary: $3,816.65 - $4,844.16 per month
Benefits:
Schedule:
Education:
Work Location: In person
Job Type: Full-time
Pay: $3,816.65 - $4,844.16 per month
Benefits:
Schedule:
Education:
License/Certification:
Work Location: Hybrid remote in Wichita Falls, TX 76301
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