Reimbursement Services Director jobs in Rock Hill, SC

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)

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Reimbursement Counselor
  • Partnered Staffing - Kelly Services
  • Fort Mill, SC FULL_TIME
  • Company DescriptionKelly Services in partnership with Nissan is currently seeking high skilled individuals to fill Production Technician openings at the Nissan manufacturing plant located in Canton, MS.Job DescriptionKelly Services is currently seeking Reimbursement Counselors for our client in Fort Mill, SC! Ideal candidates will have healthcare or pharmacy claims experience!Start Date: 2/13/2017Hours: 8:30a-5:30pAs a Reimbursement Counselor you will be responsible for accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. Collecting and reviewing all patient insurance benefit information. Providing assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications. Completing and submitting all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researching and resolving any electronic claim denials. Researching and resolving any claim denials or underpayment of claims.Additional Job Duties:Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Reports any reimbursement trends/delays to supervisor e.g. billing denials, claim denials, pricing errors, payments, etc. Processes any necessary insurance/patient correspondence. Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification NPI number, and referring physicians. Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process. Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation. Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.Job Requirements:High School Diploma/GEDGeneral knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred.Global understanding of commercial and government payers preferred.Ability to proficiently use Microsoft Excel, Outlook and Word.Additional InformationAll your information is kept confidential as per EEO standards.Why is this a great opportunity? The answer is simple…working at our client is more than a job; it’s a career. The opportunities are diverse whether you are right at the start of your career or whether you are looking for new challenges this is the job for you, so be quick and apply now!
  • 1 Month Ago

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Director of Student Services
  • Ascent Classical Academies
  • Fort Mill, SC FULL_TIME
  • DescriptionDo you want to grow your career in An American Classical Education, helping students to live responsible, courageous, and virtuous lives? Ascent Classical Academies is currently seeking sch...
  • 2 Days Ago

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Director of Student Services
  • Fort Mill School District - York 4
  • Fort Mill, SC FULL_TIME
  • Position Purpose: Under the direction and supervision of the Assistant Superintendent of Student Services and Administration, the Director of Student Services is responsible for building capacity and ...
  • 6 Days Ago

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Director of Student Services
  • Fort Mill School District - York 4
  • Fort Mill, SC FULL_TIME
  • Position Purpose: Under the direction and supervision of the Assistant Superintendent of Student Services and Administration, the Director of Student Services is responsible for building capacity and ...
  • 6 Days Ago

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Director of Counseling and Support Services
  • Clinton College
  • Rock Hill, SC FULL_TIME
  • POSITION DESCRIPTION Director Of Counseling and Support Services DEPARTMENT: Student Success FLSA STATUS: Exempt JOB TYPE: Full Time SHIFT: 8:30am-4:30pm, Monday-Friday SALARY: $55,000 FUNCTION: Serve...
  • 8 Days Ago

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Traveling Director of Dining Services
  • Compass Group Careers
  • Rock Hill, SC FULL_TIME
  • Morrison Healthcare Position Title: Traveling Director of Dining Services Reports To: Regional Director of OperationsSalary: $85,000-$100,000Job Details: Seeking a traveling Dining Services Director f...
  • 14 Days Ago

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0 Reimbursement Services Director jobs found in Rock Hill, SC area

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Director of Operations
  • Ferretti Search
  • Charlotte, NC
  • Ferretti Search is excited to partner with a premier real estate company in search of a visionary Director of Operations...
  • 4/24/2024 12:00:00 AM

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Director of Operations
  • Stintino Management
  • Charlotte, NC
  • Job Description: Stintino owns and manages several apartments and townhome communities in NC, SC, and GA. As owner-opera...
  • 4/24/2024 12:00:00 AM

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Director of Operations
  • HC-Resource
  • Charlotte, NC
  • HC-Resource is seeking a well established, experienced and dynamicDirector of Operations. HC-Resourceworks with some of ...
  • 4/23/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/22/2024 12:00:00 AM

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Director of Acquisitions
  • Zucker Investment Group
  • Charlotte, NC
  • Zucker Investment Group (ZIG) is searching for the next teammate to add value to the organization, while allowing the ca...
  • 4/21/2024 12:00:00 AM

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Canvass Director
  • Action for the Climate Emergency
  • Charlotte, NC
  • Multiple positions Temporary April - November Currently Hiring In: WI: Milwaukee County NC:Mecklenburg County This summe...
  • 4/20/2024 12:00:00 AM

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Director, Aquatics
  • Great Wolf Lodge
  • Concord, NC
  • Pay: $0 per hour - $0 per hour The Director of Aquatics is responsible for directing all aspects of aquatics services an...
  • 3/30/2024 12:00:00 AM

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Director, Engineering
  • Great Wolf Lodge
  • Concord, NC
  • Pay: $0 per hour - $0 per hour At Great Wolf, the Director of Engineering sets the vision and managing the effective fun...
  • 1/4/2024 12:00:00 AM

Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937. The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people. The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$145,804 to $207,628
Rock Hill, South Carolina area prices
were up 1.5% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020