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!
  • 22 Days 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 - $152,276Bonus Incentives: 15-22.5% potentialSign-On Bonus: Up to $10,000Relocation: Up to $10K for qualified candidatesPosition...
  • 1 Day 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...
  • 6 Days Ago

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Director of Resident Services/ Director of Nursing
  • Vineyard Bluffton
  • Bluffton, SC FULL_TIME
  • We are seeking an exceptional candidate for the position of Director of Nursing/Resident Services for a luxurious Assisted Living and Memory Care community that offers the finest senior living experie...
  • Just Posted

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Reimbursement specialist
  • University of Missouri
  • Columbia, SC FULL_TIME
  • REVENUE RECOVERY SPECIALIST : REIMBURSEMENT TEAM, DAYS (M-F)-24001588 Administrative / Clerical / Professional Primary Location Columbia Schedule Full-time Shift Day Job Unposting Date Ongoing Descrip...
  • 12 Days Ago

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Reimbursement Specialist
  • Genesis Health Care, Inc.
  • Columbia, SC FULL_TIME
  • Title: Reimbursement Specialist Reports to: Executive Financial Officer Updated on: 05/08/2024 Status: Non-Exempt Approved by: HR POSITION SUMMARY Primary responsibilities include ensuring all payment...
  • 17 Days Ago

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Lifestyle Director
  • Maplewood Mill Pond LLC
  • West Yarmouth, MA 02673, MA
  • Want to know what makes our employees eager about going to work every day? The people we serve. Being a part of Maplewoo...
  • 6/2/2024 12:00:00 AM

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Technical Director
  • Department of Homeland Security
  • Arlington, VA
  • The Department of Homeland Security (DHS) is recruiting for a Technical Director to serve as an executive within the Cyb...
  • 6/2/2024 12:00:00 AM

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Executive Director
  • Stellar Senior Living
  • Denver, CO
  • Executive Director - Large Assisted Living Community Your passion for helping others along with your natural ability to ...
  • 5/31/2024 12:00:00 AM

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Director of Intake
  • Haven Behavioral Healthcare
  • ALBUQUERQUE, NM
  • Director of Intake - Inpatient Behavioral Healthcare Haven Behavioral Hospital of Albuquerque is a 48-bed licensed, acut...
  • 5/30/2024 12:00:00 AM

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Director of Operations
  • Selmet
  • Albany, OR
  • Director of Operations If you would love to be part of a company that is poised for substantial growth with opportunitie...
  • 5/30/2024 12:00:00 AM

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Dental Director
  • UHC Solutions
  • Fort Dodge, IA
  • WE ARE HIRING A DENTAL DIRECTOR! Community Health Center of Fort Dodge is hiring a Dental Director to join our exception...
  • 5/29/2024 12:00:00 AM

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Director of Rehab
  • Tender Touch Rehab Services, LLC
  • Palm Coast, FL
  • Overview: Must be a licensed and or a registered therapist to be considered. ** EXCLUSIVE NEW JOB OPPORTUNITY!!** ***Hig...
  • 5/20/2024 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