Reimbursement Services Director jobs in South Carolina

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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Reimbursement Counselor
  • Partnered Staffing - Kelly Services
  • Fort Mill, SC FULL_TIME
  • Company DescriptionKelly Services in partnership with Nissan is currently seeking high skilled individuals to fill Production Technician openings at the Nissan manufacturing plant located in Canton, MS.Job DescriptionKelly Services is currently seeking Reimbursement Counselors for our client in Fort Mill, SC! Ideal candidates will have healthcare or pharmacy claims experience!Start Date: 2/13/2017Hours: 8:30a-5:30pAs a Reimbursement Counselor you will be responsible for accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. Collecting and reviewing all patient insurance benefit information. Providing assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications. Completing and submitting all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researching and resolving any electronic claim denials. Researching and resolving any claim denials or underpayment of claims.Additional Job Duties:Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Reports any reimbursement trends/delays to supervisor e.g. billing denials, claim denials, pricing errors, payments, etc. Processes any necessary insurance/patient correspondence. Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification NPI number, and referring physicians. Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process. Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation. Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.Job Requirements:High School Diploma/GEDGeneral knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred.Global understanding of commercial and government payers preferred.Ability to proficiently use Microsoft Excel, Outlook and Word.Additional InformationAll your information is kept confidential as per EEO standards.Why is this a great opportunity? The answer is simple…working at our client is more than a job; it’s a career. The opportunities are diverse whether you are right at the start of your career or whether you are looking for new challenges this is the job for you, so be quick and apply now!
  • 2 Months Ago

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Reimbursement Specialist Home Health
  • Medical Services of America
  • Lexington, SC FULL_TIME
  • Are you the Sherlock of Spreadsheets? The Maverick of Money? Join our Corporate Team in Lexington, SC as a Home Health Reimbursement Specialist and put your financial flair to work in the most excitin...
  • 15 Days Ago

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Director of Emergency Services
  • Texas Nursing Services
  • Myrtle, SC FULL_TIME
  • Job Summary:We are seeking a Director of the Emergency Services Department to oversee and manage the growth, development, and personnel management of the department. The ideal candidate will ensure co...
  • 1 Month Ago

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Director Emergency Services
  • Texas Nursing Services
  • Myrtle, SC FULL_TIME
  • Director of Emergency Services – Myrtle Beach, SC 29572Salary: $95,180 - $152,276.Bonus Incentives: 15-22.5% potential.Sign-On Bonus: Up to $10,000.Relocation: Up to $10K for qualified candidates.Posi...
  • 12 Days Ago

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Director Of Emergency Services
  • Texas Nursing Services
  • Charleston, SC FULL_TIME
  • Director Emergency Services📍 Charleston, SC💰 Annualized Compensation: $100,000 - $150,000Benefits:🏥 Part of a renowned healthcare network.🩺 Award-winning Heart Center and Robotic Surgery Institute...
  • 2 Months Ago

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Director of Dining Services
  • The Blake at Edgewater
  • Indian, SC FULL_TIME
  • Do you have a passion to serve others? Are you looking for a career and not just a job where words such as Caring, Community and FUN mean something? Then you've found your next career at BMG Senior Li...
  • 1 Day Ago

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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...
  • 5/10/2024 12:00:00 AM

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Executive Director
  • Brickyard Healthcare
  • Indianapolis, IN
  • We rely on our Executive Director to execute all areas of need for the organization including management in the followin...
  • 5/8/2024 12:00:00 AM

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Director
  • Chick-fil-A
  • Ocean Township, NJ
  • · We are in search of upper leadership at a young store. Director position at Chick-fil-A, the role typically involves o...
  • 5/8/2024 12:00:00 AM

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Technical Director
  • Zolo Broadcasting
  • Bend, OR
  • As Technical Director, you will be responsible for executing a wide range of video production tasks that include directi...
  • 5/7/2024 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...
  • 5/6/2024 12:00:00 AM

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Executive Director
  • Sunrise Senior Living
  • Potomac Falls, VA
  • Overview Relocation Incentive! Sunrise Senior Living is looking for an experienced Executive Director to join our vibran...
  • 5/3/2024 12:00:00 AM

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Executive Director
  • Sunrise Senior Living
  • Troy, MI
  • Overview "Sunrise is the best place that I've ever worked, simply because of the people. We provide quality care in an e...
  • 4/30/2024 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

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$142,508 to $202,938

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