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)
A large hospital network is looking for a Director of Reimbursement. The Director's primarily responsible for the financial planning, evaluation and reporting functions of the Health System including third party reimbursement, and special projects. Responsible for the completion and analysis of the Medicare, Medicaid, OHCA and other third-party cost reports and reporting. This position will be responsible for reviewing, maintaining and keeping management updated on all relative system, payer and internal issues that impact the revenue cycle. This position will be responsible for the month end close process pertaining to net accounts receivable