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)
POSTING NUMBER: (N267-2324)
POSTING DATE: February 26, 2024
CLOSING DATE: March 8, 2024
POSITION: Third Party Reimbursement Specialist
REPORTS TO: Director of Nursing and Clinical Services
POSITION SUMMARY: Assist the Director of Nursing and Clinical Services in gathering data and preparing statements for filing insurance claims to all third party payers with primary emphasis on generating revenue from dental and medical clinic sites.
RESPONSIBILITIES & ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
CERTIFICATION: N/A
SALARY AND TERMS OF EMPLOYMENT: 12-month work year. Salary Grid: C515 ($67,194-$80,931)
EVALUATION: Evaluated annually
UNION AFFILIATION: Hartford Educational Support Personnel (HESP)
APPLICATION PROCEDURE: To be considered, all internal and external applicants must fully complete a Hartford Public Schools’ online application, which can be accessed through our Applicant Tracking System, Nimble, at https://app.hirenimble.com/jobs/hartford. Internal applicants should use a personal email address when applying. Please do not use your hartfordschools.org email. Candidates’ application and supporting documents will be reviewed. Candidates who advance through the initial review will be notified and placed in the pool for consideration by hiring managers. Candidates will be contacted directly by hiring managers for interviews.