Reimbursement Services Director jobs in Summerville, SC

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)

Recently Added Reimbursement Services Director jobs

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Project Director, Acute Care Reimbursement
  • Medical University of South Carolina Health System
  • Charleston, SC FULL_TIME

  • Excited to grow your career?

    MUSC offers many career opportunities and options for professional growth. If you see a position that fits your experience and skills, we encourage you to apply!

    Join the team that is Changing What's Possible.

    Entity

    Medical University Hospital Authority (MUHA)

    Worker Type

    Employee

    Worker Sub-Type

    Regular

    Department

    CC001110 MUHA | CORP - Reimbursement Services

    Pay Rate Type

    Salary

    Pay Grade

    Health-34

    Scheduled Weekly Hours

    40

    Work Shift

    Job Description Summary

    The Project Director of Acute Care Reimbursement is responsible for the overall strategy and management as it related to multiple Medicare and Medicaid cost reports in order to optimize overall acute care hospital reimbursement, pass through payments, medical education payments, cost based pass through payments, wage index filings, hospital status classifications and all other related items that impact on the acute care hospitals’ reimbursement levels. The Project Director will be responsible for developing systems to provide for the quick and timely necessary documentation necessary to meet federal and state audit requirements. The Project Director will manage a team of subject matter experts in meeting these objectives. MUSC Health operates five hospitals, multiple rural health clinics and two skilled nursing facilities that require annual Medicare and Medicaid cost reports. In addition, the system is required to file a home office cost statement. The main hospital operates a medical education program including allied health programs and is a certified organ transplant center. MUSC Health’s Medicare and Medicaid cost reports support over $500 million in payments annually.

    Job Description

    Responsible for the management and coordination of all tasks associated with large programs of high complexity and risk, to include the management and coordination of enterprise programs or a multi-agency programs of the highest complexity and risk. Positions in this class assume highly complex, expert-level program management responsibilities. Incumbents are responsible for directing or providing program management consultation for all aspects of the design, development, and implementation of programs.

    Additional Job Description

    Minimum Training and Education:  Bachelor's degree in related field and a minimum of seven years of work experience in a management role with overall healthcare billing experience. Master’s degree preferred. Experience at a senior manager or director level preferably. Must have direct experience with reimbursement in a multi hospital system with a variety of provider types. Previous experience with in a multi hospital system including academic medical center, ASC, Imaging Center, Free Standing ER, Rehab, and SNF environment preferred.    Strong leadership, consultative skills, analytical skills. Exceptional interpersonal and strong verbal/written communication skills. Strong computer skills; MS Word, PowerPoint, Access and Excel with advanced knowledge of financial systems, to include skills with other business intelligence and analytical tools. Must be able to work independently with minimal supervision.  Excellent project management, communication and presentation skills required.

    If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

    The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

    Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees


    Employment Type
    Full Time
  • 25 Days Ago
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Director Emergency Services
  • Texas Nursing Services
  • Charleston, SC FULL_TIME
  • 🚨 Join Our Dynamic Healthcare Team in Charleston, SC! 🚨$125,881 💼 - $213,610Are you a passionate healthcare professional ready to take on an exciting leadership role? Look no further! We're seeking...
  • 11 Days Ago
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Director Of Emergency Services
  • Texas Nursing Services
  • Charleston, SC FULL_TIME
  • Director Emergency Services📍 Charleston, SC💰 Annualized Compensation: $100,000 - $150,000Benefits:🏥 Part of a renowned healthcare network.🩺 Award-winning Heart Center and Robotic Surgery Institute...
  • 23 Days Ago
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S
Reimbursement Specialist
  • Southeastern Spine Institute
  • Mount Pleasant, SC FULL_TIME
  • Position: Pre-Certification Specialist Department: Finance Reports to: Reimbursement Director FLSA Status: Non-exempt Pay Type: Hourly Position Type: Full-time Effective Date: 2/20/24 Position Summary...
  • 2 Months Ago
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Director of Clinical Services
  • Carolina Youth Development Center
  • Charleston, SC FULL_TIME
  • OVERALL JOB PURPOSE: The Director of Clinical Services (DCS) is responsible for the delivery of quality therapeutic and clinical services and programming to youth in residential foster care and famili...
  • 11 Days Ago
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Director of Marketing and Creative Services
  • South Carolina Stingrays
  • Charleston, SC FULL_TIME
  • Director of Marketing and Creative Services This position creates, oversees, manages, and executes all internal and external communications from the South Carolina Stingrays. This role will work close...
  • 11 Days Ago
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0 Reimbursement Services Director jobs found in Summerville, SC area

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Director Telemetry
  • Pyramid Consulting, Inc
  • Charleston, SC
  • Immediate need for a talented RN Director Telemetry. This is a Fulltime opportunity with long-term potential and is loca...
  • 4/19/2024 12:00:00 AM
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Director Telemetry
  • Net2Source
  • Charleston, SC
  • N2S Healthcare is America's fastest growing and one of the most respected health care staffing and workforce solutions o...
  • 4/19/2024 12:00:00 AM
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Community Director
  • LC
  • Charleston, SC
  • Team Member Title:Community Director Location:Charleston, SC Team:Property Management Team Member Description: Full Time...
  • 4/17/2024 12:00:00 AM
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Director of Administration
  • Saint Peter's Church
  • Mount Pleasant, SC
  • SCOPE The Director of Administration plays an essential role in the life of Saint Peter’s Church by being responsible fo...
  • 4/16/2024 12:00:00 AM
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Director of Administration
  • Saint Peter's Church
  • Mount Pleasant, SC
  • SCOPE The Director of Administration plays an essential role in the life of Saint Peters Church by being responsible for...
  • 4/16/2024 12:00:00 AM
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Director of Distribution
  • Bulbrite Industries
  • Summerville, SC
  • About the Role: The position oversees receiving, value added services, order fulfillment and inbound/outbound logistics ...
  • 4/16/2024 12:00:00 AM
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Human Resources Director
  • Encompass Health
  • North Charleston, SC
  • The Human Resources Director (HRD) is a Senior Leader that plans, organizes, and directs all aspects of human resources ...
  • 4/15/2024 12:00:00 AM
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A
Food Service Director
  • Aramark
  • Ridgeville, SC
  • Job Description The Food Service Director is a management position responsible for developing and executing dining solut...
  • 4/3/2024 12:00:00 AM
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About Summerville, South Carolina

Summerville is a town in the U.S. state of South Carolina situated mostly in Dorchester County with small portions in Berkeley and Charleston counties. It is part of the Charleston-North Charleston-Summerville Metropolitan Statistical Area. The population of Summerville at the 2010 census was 43,392, and the estimated population was 50,213 as of June 1, 2018. The center of Summerville is in southeastern Dorchester County; the town extends northeast into Berkeley and Charleston counties. It is bordered to the east by the town of Lincolnville and to the southeast by the city of North Charleston....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$142,340 to $202,695
Summerville, South Carolina area prices
were up 1.5% from a year ago
View detail

What does a Reimbursement Services Director do?

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020