Reimbursement Services Director jobs in Missouri

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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Consulting - Healthcare Reimbursement - Consultant - Provider Based Services
  • FORVIS
  • Springfield, MO FULL_TIME
  • General information
    Name
    Consulting - Healthcare Reimbursement - Consultant - Provider Based Services
    Posting Title
    Consultant | Healthcare Reimbursement & Regulatory Compliance | Provider Based Services
    Ref #
    2229887
    Date Published
    Wednesday, February 14, 2024
    Job Category
    Healthcare Consulting
    Office
    Healthcare Reimbursement
    Advertised Location
    US-Remote
    Working time
    Full Time
    Description & Requirements

    As a Consultant within FORVIS' Healthcare Reimbursement & Regulatory Compliance, you will be working with the firm's healthcare executive leadership team in the continued growth of the firm's Provider-Based Regulatory capabilities. In addition, you will be working with a highly collaborative team that is solely dedicated to the healthcare industry. This position is fully remote with the ability to travel nationally.


    How you will contribute:

    • Assist with Financial/Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics.
      • Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts
      • Assist with PowerPoint presentation reports
    • Assist with developing provider-based strategy, gap assessments, and transition advisory processes.
      • Expertise in CMS Provider-Based Clinic regulations and Federal and State regulations
      • Provide guidance to clients regarding provider-based departments.
        • Operational Assistance
        • Split-billing (technical/professional)
        • Chargemaster requirements
        • Compliance with provider-based rule requirements
        • CMS Checklists
          • Assimilate provider-based checklists (attestations)
    • Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC
      • Policy and Procedure Development
      • Survey readiness assistance
      • Prepare Medicare RHC cost reporting schedules.
        • Calculating RHC visits
        • Calculating FTEs for productivity
    • Advise, communicate, and present to all levels including C-suite, management, and clinic staff.
    • Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes.
    • Provide in-depth provider-based processes, regulatory knowledge and leadership to clients.
    • Provide an unmatched client experience and identify additional value-added services
    • Active participant in specific healthcare industry groups (Becker's, NRHA, HFMA, etc.)


    We are looking for people with Forward Vision and:

    • Strong analytical and communication skills
    • Ability to deliver work products consistently and with high-quality.
    • Demonstrated ability to think independently and train other team members as needed.
    • Ability to travel up to 50%, depending on client commitments.
    • Highly motivated and self-driven to exceed client needs and timelines.


    Minimum Qualifications:

    • Bachelor's degree in business, accounting, health services administration, or a related field
    • Significant experience in advanced Excel, IT platforms, and healthcare
    • Strong technical skills, experience with spreadsheets, databases, and an automated audit work paper system
    • Experience with project management


    Preferred Qualifications:

    • Experience in the following areas:
      • Healthcare provider-based billing
      • Provider-based attestation compliance and submission to Medicare
      • Medicare/Medicaid Hospital cost reporting
      • Practice operational knowledge in provider-based physician practices, or RHCs.



    #LI-AF1
    Colorado's Equal Pay for Equal Work Act (SB 19-085)
    Pursuant to Colorado's Equal Pay for Equal Work Act, the salary range displayed is for the Colorado market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

    Colorado Salary Range:
    CO Minimum Salary (USD)
    $ 55,000
    CO Maximum Salary (USD)
    $ 82,500
    New York City Pay Transparency
    Pursuant to the pay transparency laws of New York State and other local ordinances within the state including (but not limited to) New York City, the salary range displayed is for the New York markets. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

    New York Salary Range:
    NY Minimum Salary (USD)
    $ 68,500
    NY Maximum Salary (USD)
    $ 95,000
    California Pay Transparency
    Pursuant to the pay transparency laws of California, the salary range displayed is for the California market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs.

    California Salary Range:
    CA Minimum Salary (USD)
    $ 68,500
    CA Maximum Salary (USD)
    $ 114,000

    FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, or other protected classifications.

     

  • 1 Month Ago

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Dining Services Director of Operations
  • Healthcare Services Group, Inc.
  • KANSAS CITY, MO OTHER
  • Additional Information #NowHiring Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the healthcare ...
  • 21 Days Ago

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Dining Services Director of Operations
  • Healthcare Services Group, Inc.
  • ST LOUIS, MO OTHER
  • Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the healthcare market. For over 45 years, we have...
  • 23 Days Ago

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Director of Clinical Services
  • Universal Health Services, Inc.
  • Nevada, MO FULL_TIME
  • Responsibilities Director of Clinical Services Opportunity - Offering $20,000 Sign-on Bonus! Heartland Behavioral Health Services has been providing care for children and adolescents for over 100 year...
  • Just Posted

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Clinical Services Director (Exempt)
  • JEWISH FAMILY SERVICES OF ST LOUIS
  • St. Louis, MO FULL_TIME
  • Who We Are: For nearly 150 years, JFS of St. Louis has offered compassionate support and practical solutions to help people in greater St. Louis navigate life’s challenges. Our professional staff assi...
  • 23 Days Ago

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Director
  • A World of Discoveries Day Care Services
  • Columbia, MO FULL_TIME
  • Role of the DirectorThe Director is responsible for all aspects of managing the program's development, supervision, enrollment, and the facilities. The Director is to ensure the smooth flow of the pro...
  • Just Posted

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Director of IT
  • Clinical Management Consultants
  • Othello, WA
  • A reputable hospital that is committed to deliver exceptional healthcare services to the surrounding community in Centra...
  • 3/29/2024 12:00:00 AM

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Director
  • Primrose School of Oaks
  • Phoenixville, PA
  • Job Description Job Description Build a brighter future for all children. As Child Care Director of Primrose School of P...
  • 3/29/2024 12:00:00 AM

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Technical Director/Director
  • CGTN America
  • Washington, DC
  • CGTN is hiring a Technical Director/Director to join our team in Washington D.C. The successful candidate will work well...
  • 3/29/2024 12:00:00 AM

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Director
  • Visa
  • Homestead, FL
  • Company Description Visa is a world leader in digital payments, facilitating more than 215 billion payments transactions...
  • 3/29/2024 12:00:00 AM

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Lifestyle Director
  • Resort Lifestyle Communities
  • Tallahassee, FL
  • Resort Lifestyle Communities is accepting applications for a Lifestyle Director who will work closely with our residents...
  • 3/29/2024 12:00:00 AM

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Director
  • St. Johnsbury Athenaeum
  • Saint Johnsbury, VT
  • Job Description Job Description ST. JOHNSBURY ATHENAEUM DIRECTOR POSITION DESCRIPTION Job Title: Athenaeum Director Repo...
  • 3/26/2024 12:00:00 AM

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Director
  • Chick-fil-A
  • Clinton, MD
  • Chick-fil-A Woodyard Landing in Clinton, MD is looking for a passionate and experienced Director to lead a seasoned and ...
  • 3/25/2024 12:00:00 AM

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Director
  • The Anderson Search Group
  • Uvalde, TX
  • Director of Client Engagement and Deposit Strategy The Anderson Search Group has been engaged by one of our top clients ...
  • 3/25/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$143,192 to $203,907

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