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)
What we offer:
Oceans Healthcare is seeking a dynamic professional for our Corporate Director Pharmacy Services.
The Corporate Director Pharmacy Services is responsible for the overall operation of the pharmacy department. The Director will focus on pharmacy business operations as they assist with inventory management, day to day operations, acquisitions, analytics, and revenue assessment. The position requires extensive contact with Hospital Administrators, medical staff, nursing service, hospital staff, and non-hospital personnel (vendors, auditors). In this role, the Corporate Director of Pharmacy Services will be responsible for delivering the highest levels of service, operational excellence, and value for our patients and internal stakeholders.
Essential Functions:
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