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)
Vanguard Reimbursement Services is a healthcare third party reimbursement company. Our services reach out to hospitals and communities across the state providing proactive experience and knowledge assisting those persons who are in need of help with Medicaid, Disability and Social Security Disability.
We are seeking an individual with Medicaid knowledge to work in a hospital setting as an Eligibility Specialist.
Above average computer skills required. This position may seldom require travel.
1 POSITION AVAILABLE: Based in Tarboro, NC
Preferred 3 years experience working in an office environment.
Preferred but not required - Experience with Medicaid and knowledge in Social Security Disability.
Preferred but not required - SPANISH BILINGUAL
Professionalism is a must.
30-40 Hours Weekly
Pay: $16.00 per hour - possibly higher dependent on experience
Job Types: Full-time, Part-time
Pay: From $16.00 per hour
Benefits:
Schedule:
Work Location: In person