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)
We are seeking a Reimbursement Manager whose purpose is to work collaboratively as part of the Fiscal team at Highlands Community Services (HCS) in planning and providing leadership in reimbursement functions to aid in the attainment of the Department/Agency’s goals and objectives.
Position Specifics
Location: Abingdon, VA
Status: Full-time, Exempt, Monday - Friday
Compensation: Commensurate with education/experience
Education: Associate’s degree in accounting, finance, or related fields; Bachelor’s degree preferred.
Experience: Five (5) years related experience in supervision in addition to experience in a highly complex financial system, Virginia Medicaid and Medicaid MCOs and insurance credentialing.
Interested in becoming part of the HCS family—where you can truly make a difference? Then apply today and come grow with us!