Skills & Competencies for Reimbursement Services Director

Reimbursement Services Director job profile

JOB SUMMARY for Reimbursement Services Director

Directs and supervises the activities of the claims and provider reimbursement personnel.

JOB RESPONSIBILITIES for Reimbursement Services Director

Handles third-party reimbursement for services rendered to patients. 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. 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.

Reimbursement Services Director SALARY RANGE

BASE 50%
$172,521
TOTAL 50%
$178,595
Job Level
M03
Job Code
HC07000150
Education/Degree
JD, MD, PhD or Equivalent
Reports To
Top Management

Reimbursement Services Director Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Reimbursement Services Director skill and competencie below to view definitions.

9 general skills or competencies (Job family competencies) for Reimbursement Services Director

1 Job Family Competencies – Accounting
Proficiency Level -3
Skill definition-Creating financial statements and reports based on the summary of financial and business transactions.
Level 1 Behaviors
(General Familiarity)
Assigns accounting documents to proper accounts to ensure accurate financial recordkeeping.
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Level 2 Behaviors
(Light Experience)
Collects forms from new vendors and inputs information into the accounting system.
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Level 3 Behaviors
(Moderate Experience)
Analyzes data to ensure proper accounting procedures have been followed.
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Level 4 Behaviors
(Extensive Experience)
Develops recommendations based on analysis related to the adoption of new accounting standards.
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Level 5 Behaviors
(Mastery)
Builds strong working relationships with business unit accounting teams.
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2 Job Family Competencies – Accounts Receivable
Proficiency Level -3
Skill definition-Monitoring and tracking the inflow of money yet to be paid by the customer.
Level 1 Behaviors
(General Familiarity)
Enters accounts receivable customer credits and deposits to the general ledger.
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Level 2 Behaviors
(Light Experience)
Compiles and selects files for all Accounts Receivable duties.
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Level 3 Behaviors
(Moderate Experience)
Reconciles subsidiary ledgers for accounts receivable to the general ledger at the end of the month.
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Level 4 Behaviors
(Extensive Experience)
Monitors document process initiatives, leading to successful collections of accounts receivables.
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Level 5 Behaviors
(Mastery)
Keeps operational criterion reflected in the accounts receivable functions.
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3 Reimbursement Services Director - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Reimbursement Services Director
Proficiency Level - 4
5 Competency for - Reimbursement Services Director
Proficiency Level - 5

12 soft skills or competencies (core competencies) for Reimbursement Services Director

1 Core Competencies – Budgeting
Proficiency Level -3
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Describes the procedures for capital and expense allocation and budgeting.
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Level 2 Behaviors
(Light Experience)
Gathers data from financial statements to help create budget plans and improve budgeting strategies.
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Level 3 Behaviors
(Moderate Experience)
Implements strategic operational efficiencies and techniques for conducting successful budgeting.
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Level 4 Behaviors
(Extensive Experience)
Evaluates past decisions on budgetary considerations to improve the budgeting process.
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Level 5 Behaviors
(Mastery)
Establishes operating procedures to guide the consistency and repeatability of our budgeting processes.
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2 Core Competencies – Planning and Organizing
Proficiency Level -4
Skill definition-Managing and prioritizing resources and workloads by creating well-organized plans to attain organizational goals and objectives.
Level 1 Behaviors
(General Familiarity)
Documents best practices in planning and organizing work to address important tasks.
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Level 2 Behaviors
(Light Experience)
Discusses the positive and negative outcomes of planning and organization in the workplace.
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Level 3 Behaviors
(Moderate Experience)
Helps set up new practices to anticipate and address the needs of planning and organization initiatives.
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Level 4 Behaviors
(Extensive Experience)
Facilitates the adoption of advanced tools to streamline the process of planning and organization.
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Level 5 Behaviors
(Mastery)
Develops best practices in planning and organizing activities to improve organizational efficiency.
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3 Reimbursement Services Director - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Reimbursement Services Director
Proficiency Level - 4
5 Competency for - Reimbursement Services Director
Proficiency Level - 5

Summary of Reimbursement Services Director skills and competencies

There are 0 hard skills for Reimbursement Services Director.
9 general skills for Reimbursement Services Director, Accounting, Accounts Receivable, Financial Reporting, etc.
12 soft skills for Reimbursement Services Director, Budgeting, Planning and Organizing, Coordination, etc.
While the list totals 21 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Reimbursement Services Director, he or she needs to be skilled in Budgeting, be skilled in Planning and Organizing, and be skilled in Coordination.

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