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)
Level: Mid-Level
Travel Required: Travel not required
Visa Support: No visa sponsorships supported
Location(s):
Will this hire need to report to a specific location? Yes, they must report in-person to a specific location
Country: United States of America
City: Wilmington
State: OH
Postal Code: 45177 [Wilmington, OH, 45177]
Monetary: Confidential
Currency: $ USD
Salary Minimum: $100,000.00
Salary Maximum: $150,000.00
Signing Bonus: No
Relocation Package: Full
Must-Haves:
Registered Nurse in the State of Ohio.
3-5 Years of Director Level Experience.
5 Years of Labor & Delivery Experience.
Nice-To-Haves:
Master's degree in related discipline.
Job Description: The Director of OB Services is responsible for the delivery of patient care that promotes the safety and well-being of all patients in the Mother Baby Care Department on a twenty-four-hour basis. This role involves planning, directing, coordinating, and evaluating overall clinical nursing practice and administrative activities, including fiscal, material, and human resource management. The Director of OB Services participates in the development and implementation of hospital policies and procedures, maintains open communication with all staff and physicians, and requires a sound knowledge of obstetrical, newborn, and gynecological nursing practice, as well as exceptional leadership abilities.
Essential Job Responsibilities:
Integrates the department(s) and its services into the organization’s primary mission.
Develops and implements policies and procedures that guide and support the provision of services.
Recommends a sufficient number of qualified and competent persons to provide care.
Determines the qualifications and competence of department personnel who provide care services and who are not licensed independent practitioners.
Continuously assesses and improves the department’s performance.
Provides for orientation, in-service education, training, and continuing education of all persons in the department(s).
Makes daily patient rounds or delegates to assess the status of the patient and the quality of care delivered.
Ensures that the department maintains compliance with all accreditation standards.
Regularly accompanies physicians on rounds to answer questions and resolve problems/issues.
Evaluates or delegates a sample of patient medical records to evaluate staff compliance with various aspects of care.
Education and Experience Requirements:
BSN required.
Master's in nursing, business, or other related area strongly preferred.
5 years’ experience as RN in maternal child preferred.
3 years leadership in related field preferred.
Licensure in the State of Ohio as a Registered Professional Nurse (RN).
Benefits:
Comprehensive benefits package including healthcare, dental, vision, life insurance, and more.
Tuition reimbursement, parental leave, and retirement plan options.
Flexible schedule.
Job Type: Full-time
Pay: $100,000.00 - $150,000.00 per year
Schedule:
Ability to Relocate:
Work Location: In person
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