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)
Who We Are: For nearly 150 years, JFS of St. Louis has offered compassionate support and practical solutions to help people in greater St. Louis navigate life’s challenges. Our professional staff assist the elderly, protect children at risk, provide food and services to those in need, support families, and enhance community connections. We serve people in need, inclusive of all ages, races, religions, ethnicities, genders and sexual orientations. JFS is a dynamic organization, with committed volunteers and talented staff dedicated to an inspiring mission.
Summary: The Clinical Services Director (CSD) coordinates JFS’ comprehensive clinical services and is a change agent for innovation while maintaining and strengthening all department operations. The CSD contributes creative solutions to challenges and effectively communicates with team members and clients to provide a high level of client service. The CSD provides leadership and supervision to ensure that JFS clients achieve their goals and ensures consistent implementation of client care policies and procedures. Responsibilities include collaboration with community stakeholders to expand services; compliance with federal and state regulations; establishing departmental policies, goals, and impact objectives; and budget and grant preparation and monitoring.
Essential Functions:
Qualifications: To be successful in this position, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skills and/or ability required. Reasonable accommodations may be made to enable individuals with varying abilities to perform the essential functions.
Education: PhD in clinical psychology preferred; Master’s Degree in psychology, clinical social work, or counseling required.
Work Experience: A minimum of five years of clinical supervisory experience, including clinical and developmental psychologists, educational diagnosticians, and/or psychological examiners.
Knowledge, Skills and Abilities:
Licenses, Certifications and Professional Affiliations: Missouri Licensure as clinical social worker, counselor, or clinical psychologist required.
Supervisory Responsibilities:
Work Environment: Work is typically performed in an office environment. Includes time in other agencies, schools and community locations.
Physical Demands: This position requires prolonged periods of sitting at a desk and working on a computer.
Travel: Travel may be required for meetings with individuals and/or groups in other agencies, schools or community locations.
Benefits: JFS offers the following benefits to all full-time employees:
Other: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this position. Duties, responsibilities and activities may change at any time with or without notice.
JFS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, ability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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