Reimbursement Services Director jobs in New Jersey

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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Director, Reimbursement Services
  • BAYADA
  • Pennsauken, NJ FULL_TIME
  • Are you looking for an extraordi­nary growth and leadership opportunity with a top company in a fast-growing industry? Would you like that growth and success to be part of making a real difference in people’s lives? We’re BAYADA Home Health Care—a leading home health care company—and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. In this dynamic environment, you will have the chance to apply your entrepreneurial and relationship-building skills and lead a caring, professional team that is instrumental in providing the highest quality care to our clients.

    BAYADA Home Health Care is currently seeking an experienced health care manager to fill the position of Director in our Pennsauken, NJ office.

    Responsibilities:

    • Demonstrate and communicate the core values of BAYADA and The BAYADA Way.
    • Directs and supervises the activities of thirty (30) to thirty-five (35) employees and is directly responsible for the overall direction, coordination and evaluation of these employees. Carries out managerial responsibilities in accordance with the company’s policies and applicable laws.
    • Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
    • Responsible for the development of a well-qualified subordinate staff to support the department’s function.
    • Foster teamwork, instill accountability and trust.
    • Remain knowledgeable regarding payer contracts, industry and government regulations, and national billing requirements.
    • Analyze and resolve problems affecting claim submission and payment.
    • Maintain relationships with major payers to ensure timely and accurate payments.
    • Identify trends and major issues.
    • Represent the organization professionally and appropriately.
    • Advise the Division Director of Reimbursement Services on trends, problems, and issues related to the accounts receivable.
    • Develop and supervise the installation of system enhancements to improve processes within the department.
    • Identify and evaluate peripheral systems to assist in the billing and collection process.
    • Assess and respond to organizational and customers’ needs with innovative programs to ensure customer satisfaction.
    • Support service offices by minimizing bad debt expense, advising them regarding revenue cycle issues and assisting in front end processes through training and feedback.
    • Reviews and approves bad debt transactions.
    • Participates in performance improvement initiatives. Monitors progress against standards.
    • Ensures that Reimbursement Services maintains the highest level of integrity and meets internal and external compliance regulations.
    • Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
    • Performs related duties, or as required or requested by supervisor.

    Qualifications:

    • Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
    • Four (4) year college degree in Accounting or Business Administration; CPA, MBA or CMA preferred.
    • Seven (7) years related experience, or an equivalent combination of education and experience.
    • Experience supervising employees at various levels.
    • Ability to work independently, motivate and be self-motivated, flexible, versatile, and creative.
    • Possess problem solving ability, leadership skills and be able to foster interpersonal relationships.
    • Ability to analyze and resolve problems that affect claim submission and collection, regardless of whether the problem originates in an area under direct or indirect control.
    • Ability to interpret a variety of instructions furnished in written, oral, and diagram or schedule form.
    • Working knowledge of healthcare billing, collections and accounts receivable management. Must be familiar with health insurance practices, industry regulatory requirements and business office operations.
    • Must be computer literate in healthcare accounts receivable systems as well as Microsoft Excel and Word.
    • Must have the ability to effectively present information and respond to questions from groups of employees, managers, directors, and clients.
    • Competence in basic PC skills required to perform job functions.
    • Ability to read, write and effectively communicate in English and have the ability to read and interpret documents such as general business periodicals and professional journals.

    BAYADA believes that our employees are our greatest asset:

    • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
    • To learn more about BAYADA Benefits, click here

    As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

    BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

  • 19 Days Ago

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Podiatrist
  • Medical Director Services PC
  • Hammonton, NJ FULL_TIME
  • Medical Director Services PC is looking to hire an experienced Podiatrist to service in our skilled nursing facility in Hammonton, New Jersey. Now Offering a $2,000 Sign-On Bonus!!! Excellent salary w...
  • 19 Days Ago

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Nurse Practitioner (NP)
  • Medical Director Services PC
  • Newark, NJ FULL_TIME
  • Nurse Practitioner (NP) Medical Director Services PC is looking to hire experienced Nurse Practitioners (NP) to service New Vista Nursing and Rehab located in Newark, NJ. The ideal candidate will have...
  • 7 Days Ago

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Nurse Practitioner (NP)
  • Medical Director Services PC
  • Westfield, NJ FULL_TIME
  • Nurse Practitioner (NP) Medical Director Services PC is looking to hire an experienced Nurse Practitioner (NP) to service a skilled nursing facility in Westfield, NJ. New Grads Welcome!! Excellent sal...
  • 1 Month Ago

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MDS Director of Clinical Reimbursement
  • LIVIA
  • East Hanover, NJ FULL_TIME
  • POSITION: MDS Director of Clinical Reimbursement DEPARTMENT: Nursing SUPERVISOR: Administrator WORK AREA: Skilled Nursing & Assisted Living The Director of Clinical Reimbursement is responsible for ga...
  • 7 Days Ago

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Regional Director of MDS/Reimbursement
  • Connect Senior Care
  • Lakewood, NJ FULL_TIME
  • A privately owned company that owns skilled nursing facilities in multiple states is looking for astrong Regional Director of MDS/ Reimbursement to oversee their facilities. Responsibilities: Promote ...
  • 9 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 ...
  • 4/23/2024 12:00:00 AM

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Agency Director
  • Ambercare
  • Clovis, NM
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/23/2024 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 ...
  • 4/23/2024 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...
  • 4/21/2024 12:00:00 AM

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Director, Clinic
  • Sanford Health
  • Alexandria, MN
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 4/20/2024 12:00:00 AM

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Director of Preconstruction
  • Wallick Communities
  • New Albany, OH
  • Description Wallick’s Construction team is currently seeking an experienced Construction professional for a Director of ...
  • 4/3/2024 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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Executive Director
  • Life Space Communities
  • Amarillo, TX
  • Community: The Craig Address: 5500 SW 9th Ave Amarillo, Texas 79106 Pay Range $139,900. 00-$202,912. 50+ Annual Live you...
  • 9/22/2023 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$165,084 to $235,083

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