Reimbursement Services Director jobs in the United States

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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AMBULANCE BILLING SPECIALIST
  • MEDICAL REIMBURSEMENT SERVICES
  • Windham, ME FULL_TIME
  • Medical Reimbursement Services was established in 1989, we are a billing and collection service specializing exclusively in ambulance billing. We service about 60 ambulance providers across the state of Maine. Our employees have over 100 combined years of experience in the medical billing field and 90% of our employees are Certified Ambulance Coders (“CAC”) by the National Academy of Ambulance Coding (NAAC). Our goal is to help EMS providers maximize their revenue with regards to EMS billing.

    MRS is actively seeking a qualified individual to join our team full time Monday through Friday from 8am to 4pm. The ideal candidate will be dependable, organized, detail oriented and a team player. MRS offers yearly bonuses along with company profit sharing to encourage a long term and reliable employer-employee relationship.

    Ambulance billing experience not necessary, will train the right person. Pay can be negotiated based on previous billing and AR experience!

    Position requirements:

    • High School graduate or higher
    • 1-2 years previous medical billing and coding preferably in the EMS industry
    • Knowledge of HCPCS, ICD-10 CM, medical terminology and HIPAA regulations
    • Experience with Microsoft Office (Excel, Word, Outlook), accessing insurance portals, dual monitor workspace
    • Multitasker with strong attention to detail with the ability to troubleshoot and problem solve
    • Excellent and professional customer service
    • Ability to work independently and as a team
    • Familiar with Medicare/CMS and Medicaid and commercial insurance billing
    • Strong written and verbal communication skills (ability to handle challenging situations calmly and professionally
    • Knowledge of accounts receivable principles and procedures along with basic math skills

    Essential duties and responsibilities:

    • Access the Maine State EMS reporting website to review billable runs and prepare for importing into our billing software ESO
    • Verify patient demographics, insurance information and completion of required signatures
    • Accurately code ambulance claims and prepare them for clean claim submission both electronically and by paper
    • Post weekly deposits of paper checks and client deposits
    • Follow up on unpaid claims within a standard billing cycle
    • Research and appeal denied claims
    • Answer all patient, insurance and provider inquiries in a timely manner
    • Respond to medical records requests
    • Prepare and monitor monthly collections lists
    • Accurately document all claims communications and maintain all supporting documentation associated with a claim
    • Communicate with patients and appropriate individuals to resolve issues related to claim payments
    • Maintain a professional relationship with co-workers, account contacts and patients
    • Maintain strict confidentiality
    • Produce monthly reports for assigned providers
    • Other duties as assigned

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Health insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Supplemental pay types:

    • Bonus pay

    Ability to commute/relocate:

    • Windham, ME 04062: Reliably commute or planning to relocate before starting work (Required)

    Experience:

    • ICD-10: 1 year (Preferred)

    Work Location: In person

  • 2 Days Ago

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Eligibility Specialist
  • Vanguard Reimbursement Services
  • Tarboro, NC PART_TIME,FULL_TIME
  • 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 ass...
  • 5 Days Ago

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Eligibility Specialist
  • Vanguard Reimbursement Services
  • Kenansville, NC FULL_TIME
  • 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 ass...
  • 23 Days Ago

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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 ...
  • 11 Days Ago

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Director of Clinical Reimbursement Services
  • FutureCare
  • Pasadena, MD FULL_TIME
  • Overview At FutureCare our Director of Clinical Reimbursement Services provides support to facility staff on clinical reimbursement issues relating to accurate MDS completion, utilization of Medicare/...
  • 19 Days Ago

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Regional Director of Clinical Reimbursement Services
  • Ascentria Care Alliance
  • Worcester, MA FULL_TIME
  • The Regional Director of Clinical Reimbursement Services is responsible for the overall operational systems that involve clinical reimbursement for PDPM, Case management, CT and MA specific Case-Mix/ ...
  • 1 Month Ago

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Director of Maintenance
  • The Laurels of Gahanna
  • Columbus, OH
  • Are you a skilled maintenance technician with strong customer service skills and a can-do attitude? We want you to join ...
  • 4/15/2024 12:00:00 AM

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Preschool Director
  • Primrose School
  • Columbus, OH
  • Build a brighter future for all children. As a Director at Primrose School of Columbus Downtown, your dedication to the ...
  • 4/15/2024 12:00:00 AM

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Director of Development
  • Sportsmen's Alliance
  • Columbus, OH
  • DickersonBakker Talent Solutions is pleased to again work with Sportsmen's Alliance (SA) and Sportsmen's Alliance Founda...
  • 4/13/2024 12:00:00 AM

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Programmatic Director
  • The Shipyard
  • Columbus, OH
  • The Shipyard is a leading, independent agency that builds performance-driven brands audiences can't help but love. By ap...
  • 4/13/2024 12:00:00 AM

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DIRECTOR, DELIVERY
  • Columbus Region
  • Columbus, OH
  • **Director, Delivery** at WillowTree Charlottesville, VA; Columbus, OH; Durham, NC; Remote, US ****Location**** **Work F...
  • 4/13/2024 12:00:00 AM

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Director, Delivery
  • WillowTree Apps, Inc.
  • Columbus, OH
  • **Director, Delivery** at WillowTree Columbus, Ohio, United States ****The Opportunity**** As a Director of Delivery, yo...
  • 4/13/2024 12:00:00 AM

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Executive Director
  • LeaderStat
  • Columbus, OH
  • Are you a Regional Senior Living operations director (RDO) that has grown tired of the travel? Are you looking for a GOR...
  • 4/12/2024 12:00:00 AM

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Executive Director
  • Wallick Communities
  • Columbus, OH
  • Description We need you at the Ashford on Broad at our Executive Director. Come be a part of the Wallick Team - where we...
  • 4/1/2024 12:00:00 AM

Income Estimation for Reimbursement Services Director jobs
$150,624 to $214,492