Reimbursement Services Director - Home Care jobs in Arkansas
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)
Recently Added Reimbursement Services Director - Home Care jobs
- Shared Services Center - Fort Smith
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Fort Smith, AR
FULL_TIME
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This is a remote position. This is for the Managed Care team.
The working hours are Monday-Friday, 8:00am -4:30pm, EST or CST.
Summary: The Insurance Reimbursement Specialist, under the direction of Accounts Receivable Manager, ensures claims submitted to responsible entities are received, processed, and resolved in a timely manner. This position’s goals are met through professional communication, confidentiality and adherence to HIPAA guidelines, and a working knowledge of CMS/other payer guidelines.
Essential Duties and Responsibilities: (List in order of importance or percentage of time spent on the particular responsibility. High to Low)
- Uses various methods (phone, web, fax, e-mail) of contacting insurance payers and/or responsible entities to obtain claim status on submitted and unresolved claims. (40%)
- Research patient accounts to ensure account integrity, using all available resources and tools (i.e., payer websites, contracts, and internal references). Use critical thinking skills to resolve account denials and payer barriers. (25%)
- Take appropriate actions toward account resolution and appropriate balance. This may include actions such as facilitating interdepartmental communication, posting adjustment requests, and providing requested information to insurance payers and/or responsible entities. (20%)
- Utilize internal computer systems and applications to thoroughly and professionally document all actions taken to reach resolution on an account. (10%)
- Communicate daily with management about payer trends identified. (5%)
Qualifications:
Required Education: High school diploma or equivalent
Required Experience: 1 year of experience in healthcare revenue cycle or business office.
Required License/Registration/Certification: None
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Use reasoning to meet and maintain department and personal benchmarks.
Computer Skills:
To perform this job successfully, an individual should have knowledge of Word Processing software, spreadsheet software and database software.
Physical Demands:In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:
The Employee is required to read, review, prepare and analyze written data and figures, using a pc or similar and should possess visual acuity.
The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
The Employee is not substantially exposed to adverse environmental conditions and therefore job functions are typically performed under conditions such as those found in general office or administrative work.
Education
Required- High School or better
- Just Posted
- Civitan Services
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Benton, AR
FULL_TIME
- Join the Civitan Services Family and Make A Difference in the Lives of People with Developmental Disabilities To apply for one of our job openings: and submit via email to humanresources@civitanservic...
- 19 Days Ago
- Clear Creek Memory Care
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Fayetteville, AR
FULL_TIME
- Anthem Memory Care is guided by a single purpose: To protect, engage, and love people living with memory loss. We are committed to sustaining a safe, active, and loving environment; to give our famili...
- Just Posted
- Dermott City Nursing Home
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Dermott, AR
FULL_TIME
- ```Duties```- Develop and implement social service programs and initiatives to meet the needs of the residents- Provide supervision, guidance, and support to residents in their daily activities- Colla...
- 1 Month Ago
- Caldera Care
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Little Rock, AR
FULL_TIME
- C Caldera Care in the Pacific Northwest (WA, OR and ID) is now hiring experienced Directors of Nursing/Directors of Clinical Services (DON/DCS/RN)! Relocating can seem daunting and intimidating, but f...
- 13 Days Ago
- Home Helpers Home Care
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North Little Rock, AR
PART_TIME
- Home Helpers is hiring caregivers for immediate start! No experience as a caregiver? No problem! We offer free Personal Care Aide (PCA) training and you can start working as soon as that is complete!D...
- 15 Days Ago
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