Reimbursement Services Director jobs in Maine

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)

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AMBULANCE BILLING SPECIALIST
  • MEDICAL REIMBURSEMENT SERVICES
  • Windham, ME FULL_TIME
  • Medical Reimbursement Services was established in 1989, we are a billing and collection service specializing exclusively in ambulance billing. We service about 60 ambulance providers across the state of Maine. Our employees have over 100 combined years of experience in the medical billing field and 90% of our employees are Certified Ambulance Coders (“CAC”) by the National Academy of Ambulance Coding (NAAC). Our goal is to help EMS providers maximize their revenue with regards to EMS billing.

    MRS is actively seeking a qualified individual to join our team full time Monday through Friday from 8am to 4pm. The ideal candidate will be dependable, organized, detail oriented and a team player. MRS offers yearly bonuses along with company profit sharing to encourage a long term and reliable employer-employee relationship.

    Ambulance billing experience not necessary, will train the right person. Pay can be negotiated based on previous billing and AR experience!

    Position requirements:

    • High School graduate or higher
    • 1-2 years previous medical billing and coding preferably in the EMS industry
    • Knowledge of HCPCS, ICD-10 CM, medical terminology and HIPAA regulations
    • Experience with Microsoft Office (Excel, Word, Outlook), accessing insurance portals, dual monitor workspace
    • Multitasker with strong attention to detail with the ability to troubleshoot and problem solve
    • Excellent and professional customer service
    • Ability to work independently and as a team
    • Familiar with Medicare/CMS and Medicaid and commercial insurance billing
    • Strong written and verbal communication skills (ability to handle challenging situations calmly and professionally
    • Knowledge of accounts receivable principles and procedures along with basic math skills

    Essential duties and responsibilities:

    • Access the Maine State EMS reporting website to review billable runs and prepare for importing into our billing software ESO
    • Verify patient demographics, insurance information and completion of required signatures
    • Accurately code ambulance claims and prepare them for clean claim submission both electronically and by paper
    • Post weekly deposits of paper checks and client deposits
    • Follow up on unpaid claims within a standard billing cycle
    • Research and appeal denied claims
    • Answer all patient, insurance and provider inquiries in a timely manner
    • Respond to medical records requests
    • Prepare and monitor monthly collections lists
    • Accurately document all claims communications and maintain all supporting documentation associated with a claim
    • Communicate with patients and appropriate individuals to resolve issues related to claim payments
    • Maintain a professional relationship with co-workers, account contacts and patients
    • Maintain strict confidentiality
    • Produce monthly reports for assigned providers
    • Other duties as assigned

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Health insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Supplemental pay types:

    • Bonus pay

    Ability to commute/relocate:

    • Windham, ME 04062: Reliably commute or planning to relocate before starting work (Required)

    Experience:

    • ICD-10: 1 year (Preferred)

    Work Location: In person

  • 4 Days Ago

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Reimbursement Analyst- Reimbursement
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary **Fully Remote working position but will be expected to be in the office based on business needs in Portland, Maine The overall purpose and function of the job is to complete ...
  • 2 Months Ago

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Reimbursement Analyst
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary The overall purpose and function of the job is to complete specific assigned responsibilities as it relates to cost reporting, month-end contractuals and third party receivabl...
  • 15 Days Ago

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Nurse Director Inpatient Services
  • Clinical Management Consultants
  • Jonesboro, ME FULL_TIME
  • A leading critical access hospital located in northern Maine is currently searching for an experienced Nurse Director Inpatient Services to join their accredited healthcare team. This organization pro...
  • 12 Days Ago

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Clinic Director of Outpatient Services
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary Under the direction of the Vice President of Outpatient Services, the Clinic Director of Outpatient Services is responsible for the performance, management and oversight of da...
  • 13 Days Ago

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Director of Support Services
  • Down East Community Hospital
  • Machias, ME FULL_TIME
  • DescriptionJOB SUMMARY AND SCOPEResponsible for the oversight of plant operations, maintenance, biomedical service, security, and housekeeping for the organization. Works to ensure that State and Fede...
  • 14 Days Ago

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Project Director
  • BluSky
  • Minnetonka, MN
  • BRIEF DESCRIPTION: The construction Project Director is responsible for managing and closing new business opportunities ...
  • 4/18/2024 12:00:00 AM

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Project Director
  • BluSky
  • Norcross, GA
  • BRIEF DESCRIPTION: The construction Project Director is responsible for managing and closing new business opportunities ...
  • 4/18/2024 12:00:00 AM

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Interactives Director
  • Universal Orlando
  • Orlando, FL
  • JOB SUMMARY: The Interactives Director is responsible to establish and direct the overall visual appearance of all inter...
  • 4/17/2024 12:00:00 AM

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Director of Operations
  • UHC Solutions
  • Los Angeles, CA
  • The Director of Clinic Operations is responsible for the overall planning, development, coordination, implementation and...
  • 4/16/2024 12:00:00 AM

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Director, FP&A
  • ADP
  • Norfolk, VA
  • ADP is hiring a Director of Finance. Do you enjoy deciphering the hidden insights within complex data to make recommenda...
  • 4/5/2024 12:00:00 AM

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P3M Director
  • Leidos
  • Bristol, GB
  • Description P3M Director Programme Name: LCST Location: There is flexibility around remote working, with potentially 3 d...
  • 4/4/2024 12:00:00 AM

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Director of Stewarding
  • The Newbury Boston
  • Boston, MA
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 4/1/2024 12:00:00 AM

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Director of Rehab
  • Tender Touch Rehab Services, LLC
  • Brick, NJ
  • Overview: Must be a licensed and or a registered therapist to be considered. ** EXCLUSIVE NEW JOB OPPORTUNITY!!** ***Hig...
  • 2/21/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$146,557 to $208,700

Reimbursement Services Director in Huntington, NY
Mediware’s reimbursement team provides trusted home infusion and DME reimbursement services including complete outsourced billing and collections, consulting, due diligence services, and flexible collection project options.
February 13, 2020
Reimbursement Services Director in Salem, OR
Tuition Reimbursement Services, or Programs, are also referred to as Tuition Assistance Programs.
February 18, 2020
Reimbursement Services Director in Queens Village, NY
Manages the team member’s and workload of the Audit/Reimbursement unit to ensure compliance with the standards set forth by the Centers for Medicare and Medicaid Services (CMS).
December 17, 2019