Reimbursement Services Director - Home Care directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Being a Reimbursement Services Director - Home Care monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. Additionally, Reimbursement Services Director - Home Care may require an advanced degree. Typically reports to top management. The Reimbursement Services Director - Home Care 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 - Home Care typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
A privately owned company that owns skilled nursing facilities in multiple states is looking for astrong Regional Director of MDS/ Reimbursement to oversee their facilities.
Responsibilities:
• Conduct regular facility visits to support the teams in each facility while providing a visit report to the regional team and the Corporate Director of Clinical Reimbursement • Complete monthly reporting of MDS concerns, staffing issues, average CMI for PDPM and Medicaid, at a minimum, by facility
Qualifications: