Reimbursement Services Director - Home Care jobs in Clearwater, FL

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)

P
Reimbursement Analyst - Home Health
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME
  • Our Mission at Pinnacle Home Care is "Changing lives through the art of the experience"!! Pinnacle Home Care is a full-service Medicare Certified and Florida Licensed Home Health Company locally owned and operated by home health professionals who are passionate about delivering exceptional, quality care to the communities that we serve. We take pride in our home health care professionals who are devoted to fulfilling the levels of service that we uphold. Human service can never be successful without dedication, just as dedication cannot be realized without passion.

    • Award-winning – “Top places to work 2020, 2021 & 2022” “Healthcare workplace Innovator” “Top 100 Agency Home Care Elite”
    • Leading provider of home care services recognized for Creating Raving Fans and delivering Exceptional Outcomes.
    • Competitive pay, benefits, 6 paid holidays, matching 401K, and great coffee.
    • Comprehensive and ongoing training plus growth opportunities.

    As our Reimbursement Analyst, you will take responsibility for obtaining and managing, accurate, timely completion and submission of all the authorization requests. You will also focus on billing, collections, and accounts receivable functions for Pinnacle Homecare and our assigned payor sources.

    As part of our Dynamic Central Operations Team, you will:
    • Bill payers in a timely and accurate manner.
    • Daily collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including external/internal databases, payer portals/websites, and telephone
    • Take appropriate action to resolve denied/rejected invoices and preparation of payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes
    • Calculate expected reimbursement percentages based on contracted rates and properly notate accounts.
    • Daily Review of EOPs/EOB/Ras/EOMBs for accuracy and patient responsibility.
    • Reconciles and collects on assigned accounts.
    • Identify trends, and opportunities, and report data to your direct supervisor the same day.
    • Meet productivity goals as assigned by the Billing/Reimbursement Manager.
    • Utilize appropriate systems to actively contact Payers/Patients for account transactions.
    • Ensures that all reconciled items and past due balances are resolved to completion through contact and follow-up with Payers/Patients.
    • Communicates professionally with inter-company departments on a resolution of potential disputed items.
    • Responds to all inquiries with a resolution to concerns and or discrepancies.
    • Participates in payer webinars and conference calls covering a wide range of topics that enables the Billing Team to effectively bill and collect accounts receivable.
    • Assists in the training of all new A/R personnel when needed.
    • Complies with HIPAA regulations on all accounts
    • Protects the confidentiality of patient and organization information through effective controls and direct supervision of operations.
    • Additional Duties/Tasks may apply as the business needs of the company evolve.

    The Talent Acquisition person who is responsible for this role enjoys sharing their enthusiasm for being part of an amazing organization, that works together for successful patient outcomes and has a passion for service to others. It will be well worth your time to have the conversation and expand your network. Apply today!
  • 2 Days Ago

P
Home Healthcare Reimbursement Analyst
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME
  • THIS IS NOT A REMOTE ROLEAs our Reimbursement Analyst, you will take responsibility for obtaining and managing, accurate, timely completion and submission of all the authorization requests. You will a...
  • 2 Days Ago

P
Home Health Reimbursement Analyst (FT)
  • Pinnacle Home Care
  • Oldsmar, FL FULL_TIME
  • THIS IS NOT A REMOTE ROLEAs our Reimbursement Analyst, you will take responsibility for obtaining and managing, accurate, timely completion and submission of all the authorization requests. You will a...
  • 9 Days Ago

A
Americare Home Care Field Agent
  • Americare Home Care Services
  • Clearwater, FL 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...
  • 22 Days Ago

P
Director of Clinical Services(Director of Nursing)
  • Palm Garden Home Health
  • Clearwater, FL FULL_TIME
  • Excellent Opportunities available for a Director of Nursing to join our team! At Palm Garden, we are committed to finding the best talent and developing them into leaders. Joining our team means you w...
  • 13 Days Ago

E
Clinical Director (Field-Based)
  • EasyLiving Home Care
  • Clearwater, FL FULL_TIME
  • The Clinical Director will be a dynamic, in office and field-based position, playing a critical role in overseeing and participating in delivering clinical services directly to our clients' homes. Thi...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Reimbursement Services Director - Home Care jobs found in Clearwater, FL area

B
Director Clinical Applications
  • BayCare Health System
  • Clearwater, FL
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-...
  • 4/26/2024 12:00:00 AM

E
Pediatric and Sports Medicine Physician
  • Evara Health
  • Clearwater, FL
  • Are you looking to make a difference in the community? Are you looking for opportunities to further your career in healt...
  • 4/25/2024 12:00:00 AM

B
Director of Laboratory Operations (Anatomic Pathology)
  • BayCare Health System
  • Clearwater, FL
  • Join the team that is revolutionizing health care – BayCare Health System Our network consists of 16 community-based hos...
  • 4/24/2024 12:00:00 AM

E
Director of Rehabilitation Services
  • Evara Health
  • Clearwater, FL
  • Are you looking to make a difference in the community? Are you looking for opportunities to further your career in healt...
  • 4/24/2024 12:00:00 AM

Y
A Youth Development Program Director Starkey Elementary
  • YMCA of the Suncoast
  • Clearwater, FL
  • Title: Youth Development Program Director - Starkey Elementary Reports to: Youth Development Program Management Director...
  • 4/24/2024 12:00:00 AM

B
Director of Finance
  • BayCare Health System
  • Clearwater, FL
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-...
  • 4/24/2024 12:00:00 AM

B
Director Academic Research Services
  • BayCare Health System
  • Clearwater, FL
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-...
  • 4/24/2024 12:00:00 AM

D
Psychiatric Nurse Practitioner PMHNP
  • Directions for Living
  • Clearwater, FL
  • Job Description Job Description Pay range: $130,000-145,000 THIS POSITION IS AN OFFICE BASED POSITION- LOCATED IN OUR CL...
  • 4/24/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$66,496 to $94,899
Clearwater, Florida area prices
were up 1.1% from a year ago

Reimbursement Services Director - Home Care in Springfield, MO
Providing home health care services requires travel to get to clients.
February 04, 2020
Reimbursement Services Director - Home Care in Casper, WY
When you partner with Mediware, a dedicated team works closely with your business to streamline reimbursement processes and minimize the delays that restrict cash flow.
February 03, 2020
Reimbursement Services Director - Home Care in Charleston, SC
Better yet, our teams are trained on every major software system (including all Mediware home care solutions), so switching to our service is seamless to your business.
January 06, 2020