Skills & Competencies for Reimbursement Services Director

Reimbursement Services Director job profile

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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%
$172,133
TOTAL 50%
$178,193
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.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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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)
Classifies and records payroll and related transactions in the accounting system.
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Level 2 Behaviors
(Light Experience)
Compiles periodic reports extracting required accounting information from records maintained.
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Level 3 Behaviors
(Moderate Experience)
Analyzes key data to solve complex issues in accounting, business finance, and management.
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Level 4 Behaviors
(Extensive Experience)
Develops solid relationships with cross-functional partners to keep the business ahead of emerging accounting issues.
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Level 5 Behaviors
(Mastery)
Designs organizational structure of the Accounting Department.
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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)
Discusses the purpose and distribution of account receivable reports.
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Level 2 Behaviors
(Light Experience)
Applies client account receivables by reviewing the client's bank transactions and receipts.
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Level 3 Behaviors
(Moderate Experience)
Performs collection activities on accounts receivable balances to remain within corporate standards.
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Level 4 Behaviors
(Extensive Experience)
Manages multiple accounts within the accounts receivable portfolio.
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Level 5 Behaviors
(Mastery)
Forecasts transactions impacting accounts receivable to monitor delinquent payments.
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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 concepts and principles of budgeting operations.
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Level 2 Behaviors
(Light Experience)
Assists in developing and improving budgeting models, plans, and strategies.
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Level 3 Behaviors
(Moderate Experience)
Compares planned budgets vs. actual expenditures, identifies, reports, and explains variances.
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Level 4 Behaviors
(Extensive Experience)
Determines system capabilities and needs to improve the process for financial budgeting.
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Level 5 Behaviors
(Mastery)
Develops financial models to support the strategic improvement 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)
Compiles a list of all the traits of effective planning to help finish the assigned tasks.
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Level 2 Behaviors
(Light Experience)
Classifies assigned tasks based on the level of importance to ensure organized workload completion.
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Level 3 Behaviors
(Moderate Experience)
Defines and translates objectives into specific plans to ensure understanding of organizational goals.
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Level 4 Behaviors
(Extensive Experience)
Delivers training sessions to foster and maximize solid planning and organization capabilities.
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Level 5 Behaviors
(Mastery)
Champions the adoption of business intelligence systems to achieve planning and organization goals.
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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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