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)
Director of Reimbursement
Status: Full-Time
Location: 25115 SW Parkway Ave. Wilsonville, OR (Hybrid)
Compensation: $140,000.00 - $160,000.00
Employee Perks:
Avamere understands the importance of affordable and accessible healthcare for our team members and is very excited to partner with SEIU 503 and the Essential Worker Healthcare Trust to offer an excellent health insurance benefit plan at a significantly reduced cost to the employee.
Starting in 2023, our Full-Time Oregon team members will be able to participate in a PPO or HMO plan with deductibles as low as $800.00 with significantly reduced premium costs. Employees will be eligible to start using their benefits within their first month of hire – no 60 day waiting period! Vision, Dental, STD, LTD, AD&D, and other benefits are available for enrollment as well.
The Director of Clinical Reimbursement is responsible for ongoing review and management of clinical service revenue streams. The Director establishes and maintains an in-depth understanding of all clinical programs that impact reimbursement. Strategically and collaboratively, the Director develops structures to maximize clinical services revenue streams in accordance with all rules and regulations that apply to the business of Avamere Living.
The Director of Clinical Reimbursement reports to the Vice President of Clinical Services.
Duties & Responsibilities:
Administrative Functions
Personnel Functions
Budget and Planning Functions
Residential Rights
Requirements & Qualifications:
Avamere Living is an Equal Opportunity Employer and participates in E-Verify.