Reimbursement Services Director jobs in Minnesota

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 of Reimbursement
  • Reliable Medical
  • Brooklyn, MN FULL_TIME
  • About Us

    Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of all who entrust us with their care and those who we entrust to provide it. We strive to be the premier provider of complex mobility solutions and other critical services for customers seeking compassionate care and optimal outcomes. Our mission is to improve the lives of those we serve by providing best in class service to customers, education, product expertise and dedicated partnership to clinicians, and development, career satisfaction and work-life balance to our team members. We aspire to bring our mission to new communities and to reinvest our growth into improving lives, treating one another and our customers, like family.

    Job Summary

    The Director of Reimbursement oversees all aspects of the reimbursement process to ensure accuracy, compliance and efficiency within the organization. Responsible for directing and monitoring daily activities of the billing and reimbursement staff, providing training and ongoing support, and ensuring adherence to all billing and reimbursement policies and procedures. Plays a key role in coordinating with other departments and external stakeholders to optimize reimbursement strategies and maintain positive payer relationships.

    Essential Functions

    • Develop and implement billing and reimbursement policies, procedures, and best practices to optimize reimbursement and minimize errors.
    • Oversee the organization and maintenance of billing and reimbursement records, ensuring confidentiality and compliance with regulatory requirements.
    • Collaborate with other departments, including Finance and Compliance, to ensure alignment of billing and reimbursement strategies with organizational goals and objectives.
    • Conduct regular audits and reviews of billing/reimbursement processes and documentation to identify areas for improvement and ensure compliance with payer requirements.
    • Stay current on changes and updates to billing and reimbursement regulations, guidelines, and industry trends, and communicate relevant information to staff and stakeholders.
    • Coordinate with external stakeholders, including payers and regulatory agencies, to resolve billing and reimbursement-related issues and maintain positive relationships.
    • Analyze billing/reimbursement data and performance metrics to assess productivity, identify trends, and implement strategies for improvement.
    • Perform other duties and responsibilities as assigned by senior management.
    • Ensure compliance with HIPAA, HQAA, and other regulatory standards.

    Qualifications And Requirements

    • Bachelor’s degree in Healthcare Administration, Business Management, or related field.
    • 3 years or more of experience in healthcare billing, reimbursement, or revenue cycle management, with progressive leadership experience.
    • Strong understanding of healthcare billing and reimbursement regulations, compliance requirements, and payer reimbursement methodologies.

    Competencies

    • Excellent leadership, communication, and interpersonal skills, with the ability to effectively motivate and inspire teams.
    • Proven ability to analyze data, identify trends, and implement strategies to optimize reimbursement and improve financial performance.
    • Proficiency in healthcare billing software and electronic health records systems.

    Physical Requirements

    • Prolong periods sitting at a desk and working on a computer.
    • Must be able to lift up to 15 pounds at times.
  • 5 Days Ago

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Intake/Reimbursement Specialist
  • Fairview Health Services
  • Minneapolis, MN OTHER
  • OverviewWe at MHealth Fairview are looking for you to join our amazing team! This benefits eligible position is a 1.0FTE(80 hours/2 weeks) on the day shift! As a member of the pharmacy team, the Reimb...
  • 21 Days Ago

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Patient Financial Services Specialist, Reimbursement - Revo Health
  • Revo Health
  • Minneapolis, MN FULL_TIME
  • The Patient Financial Services Specialist is responsible for efficiently working accounts receivable for the organization. This position works Monday - Friday 8:30am - 5pm out of our Bloomington Corpo...
  • 5 Days Ago

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Director of Health Services -RN
  • Fairview Health Services
  • Deephaven, MN FULL_TIME
  • Join the Deephaven Woods Senior Living team as the Director of Health Services (DHS) RN! Wage ranges between $98K - $120K, dependent on experience.This is a full time, salaried leadership nursing posi...
  • 2 Days Ago

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Nutrition & Culinary Services Director
  • Presbyterian Homes & Services
  • Paul, MN FULL_TIME
  • Min Max Overview Presbyterian Homes & Services - Highland Path is seeking a Nutrition & Culinary Services Director to join our team. The Nutrition & Culinary Services Director is responsible for plann...
  • 6 Days Ago

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Director of Health Services - RN
  • Fairview Health Services
  • Minneapolis, MN OTHER
  • OverviewJoin the Jones-Harrison Senior Assisted Living/Memory Care team as the Director of Health Services (DHS) RN! Wage ranges between $98K - $120K, dependent on experience. This is a full time, sal...
  • 1 Month Ago

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Afternoon Assistant Teacher/After Care Program Supervisor
  • Nebraska Department of Education
  • Lincoln, NE
  • Montessori School for Young Children Afternoon Assistant Teacher/After Care Program Supervisor Preferred Qualifications ...
  • 6/11/2024 12:00:00 AM

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Associate Director/Director
  • BioPhase
  • San Diego, CA
  • We seek an enthusiastic and highly motivated DMPK Lead to join our seasoned drug discovery and early development team. Y...
  • 6/8/2024 12:00:00 AM

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Photo Director
  • Uline, Inc.
  • Pleasant Prairie, WI
  • Photo Director Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Bring your eye for impeccable photog...
  • 6/8/2024 12:00:00 AM

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Operations Director
  • Centria Autism
  • Winston-Salem, NC
  • Every child deserves the brightest future and Life Skills Autism Academy is on a mission to help young children with Aut...
  • 6/7/2024 12:00:00 AM

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Photo Director/Associate Photo Director
  • Aquent
  • Milwaukee, WI
  • FANTASTIC PHOTO DIRECTOR OPPORTUNITY RELOCATION Assistance Provided if Needed Our client, a leading provider of shipping...
  • 6/7/2024 12:00:00 AM

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Executive Director
  • Sunrise Senior Living
  • Golden Valley, MN
  • Overview "Sunrise is the best place that I've ever worked, simply because of the people. We provide quality care in an e...
  • 5/31/2024 12:00:00 AM

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Executive Director
  • Lifespace Communities
  • Amarillo, TX
  • Community: The Craig Address: 5500 SW 9th Ave Amarillo, Texas 79106 Pay Range $139,900.00-$202,912.50+ Annual Live your ...
  • 5/16/2024 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

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$154,789 to $220,422

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