Reimbursement Services Director - Home Care jobs in Ohio

Reimbursement Services Director - Home Care directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Being a Reimbursement Services Director - Home Care monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. Additionally, Reimbursement Services Director - Home Care may require an advanced degree. Typically reports to top management. The Reimbursement Services Director - Home Care 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 - Home Care typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Home Health - Director of Professional Services
  • Absolute Health Care
  • Canton, OH FULL_TIME
  • Director of Professional Services (DPS)

    Sign-On Bonus Included

    POSITION SUMMARY: The Director of Professional Services (DPS) acts under the direction of the Executive Director/Administrator of Absolute Home Health. This position is responsible for the day-to-day oversight and administration of the home health program, including the supervision of all home health staff. The DPS ensures compliance with all company policies and procedures, state and federal regulations, and accreditation standards. The DPS assures the program’s vision of high-quality patient-centered care in accordance with the home health mission and philosophy. In the absence of the Executive Director/Administrator, the DPS may serve as an Alternate Administrator. This is a full-time salary position. Applicants must have home health experience.

    TRAINING AND EXPERIENCE:

    • Requires a minimum of two years of home health RN experience that includes direct employee supervision.
    • Management experience including but not limited to, supervision, disciplinary actions, policy development, budgeting and staff development


    PRIMARY DUTIES AND RESPONSIBILITIES:

    • Direct responsibility for the delivery of quality care that meets client-specific needs in compliance with program/payer rules and physician orders
    • Responsible for efficient and effective utilization management in accordance with client needs, physician orders, and payer requirements
    • Facilitates communication and coordination of care between clients, families, caregivers, physicians, and other service providers as necessary
    • Assures efficient coordination of caregivers through case conferences and scheduling processes and appropriate utilization of services
    • Oversees quarterly record reviews and communicates findings and recommendations to Executive Director and home health personnel, assures current and accurate clinical records in compliance with documentation requirements and program-specific rules for coverage and qualifying criteria. Facilitates Quality Assurance and Performance Improvement (QAPI) meetings in accordance with regulations and standards. Plans and assures adherence to budgetary guidelines and exercises appropriate expense control management with Executive Director.
    • Assists growth strategies for the program such as: development of strong, customer service driven partnerships with providers and facilities, ensure appropriate staffing for referral acceptance/conversion, assist in brand/program recognition and development of ancillary offerings.
    • Assures all staff receive appropriate training and follow the policies for protected health information
    • Oversees the scheduling and competency of staff to assure safe, quality care and service
    • Oversees personnel management functions including staffing, performance reviews, and disciplinary actions
    • Assures appropriate training to meet agency and regulatory requirements
    • Completes other assignments and duties as requested and assigned to accomplish the goals and objectives of the Company
    • May serve as an Alternate Administrator, in the absence of the Administrator.


    EDUCATION:

    • Graduate of an approved school of professional nursing
    • Licensed in the State of Ohio, in good standing to practice as a registered nurse
    • Basic knowledge of Microsoft Office and Microsoft Excel
  • 4 Days Ago

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Americare Home Care Field Agent
  • Americare Home Care Services
  • Cincinnati, OH FULL_TIME
  • Overview of the Company:- Americare sells pre-paid contracts for a specified number of hours of nonmedical, in-home personal care.- Located in Bloomsburg, Pennsylvania, Americare operates in Pennsylva...
  • 8 Days Ago

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Director
  • Options Home Services
  • Dayton, OH FULL_TIME
  • Are you a reliable and dynamic person who loves to help seniors? Do you love supporting other professionals? Are you super organized? Can you motor through tasks? Can you multi-task? Do you have a pas...
  • 15 Days Ago

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Director, Reimbursement
  • Summa Health
  • Akron, OH FULL_TIME
  • Summa Health Corporate Office Full-time, w/benefits Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptiona...
  • 15 Days Ago

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On-Call Caregiver, Home Care
  • Options Home Services
  • Dayton, OH PART_TIME
  • DO YOU WANT TO FEEL LIKE A SUPERHERO?!! Help us save the day by never missing a shift! We are seeking an On-Call Caregiver every other Monday-Friday 4pm-10pm and Weekend. As an on-call caregiver, you ...
  • 28 Days Ago

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Home Care Scheduler
  • Galaxy Home health Services
  • Cleveland, OH PART_TIME,FULL_TIME
  • Job Title: Home Care SchedulerOverview: We are seeking a detail-oriented and organized individual to join our team as a Home Care Scheduler. In this role, you will be responsible for coordinating sche...
  • 8 Days Ago

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Director Managed Care
  • Fulgent Genetics, Inc.
  • Coppell, TX
  • Job Details Level: Experienced Job Location: IDX Coppell TX Site - Coppell, TX Position Type: Full Time Education Level:...
  • 6/1/2024 12:00:00 AM

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Director of Care
  • The Shoshana
  • Philadelphia, PA
  • About The Shoshana: The Shoshana is a pioneering postnatal retreat dedicated to supporting new mothers and their familie...
  • 5/30/2024 12:00:00 AM

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Wellness Director - Resident Care Director
  • Heritage Green Assisted Living
  • Mechanicsville, VA
  • SAME DAY PAY available! If you would like to work in a positive environment and use your talents and experience to make ...
  • 5/30/2024 12:00:00 AM

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Memory Care Director
  • Bridge Senior Living
  • Mechanicsburg, PA
  • Make a difference in the lives of others while personally thriving! Join Bridge Senior Living - a certified Great Place ...
  • 5/30/2024 12:00:00 AM

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Director, Pastoral Care
  • Presbyterian SeniorCare Network
  • Verona, PA
  • Join an organization where we actually encourage you to spend a little extra time building warm, friendly relationships ...
  • 5/30/2024 12:00:00 AM

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Deputy Executive Director - Virtual Express Care (Director Health Care Standards)
  • NYC Health + Hospitals
  • New York, NY
  • About NYC Health + Hospitals: Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible NYC He...
  • 5/29/2024 12:00:00 AM

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Memory Care Director
  • Maplewood at Southport LLC
  • Southport, CT
  • Memory Care Director Want to know what makes our employees eager about going to work every day? The people we serve. Bei...
  • 5/29/2024 12:00:00 AM

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Memory Care Director
  • Sunrise Senior Living
  • Franklin Lakes, NJ
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 4/29/2024 12:00:00 AM

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$69,104 to $98,612

Reimbursement Services Director - Home Care in Queens Village, NY
You can also contract for short-term collections services, consulting, or staff training to meet your unique business needs.
January 29, 2020
Reimbursement Services Director - Home Care in Moline, IL
A health care agency is not obligated to pay this amount, though you may be entitled to declare reimbursement as income and deduct vehicle expenses using the IRS mileage rate.
February 24, 2020
Reimbursement Services Director - Home Care in Des Moines, IA
The reimbursement policies for health care agencies vary widely, so know agency policy and how much driving you can expect before accepting a job.
February 22, 2020