Reimbursement Services Director jobs in Saint Louis, MO

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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Clinical Services Director (Exempt)
  • JEWISH FAMILY SERVICES OF ST LOUIS
  • St. Louis, MO FULL_TIME
  • 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:

    • Researches and communicates community needs and determines the evidence- and research-based interventions for impacting change.
    • Provides direction and leads the integrated coordination of planning, development and implementation of all JFS clinical programs.
    • Establishes and implements short and long-range clinical department goals, objectives, policies and operating procedures; monitors and evaluates staff and program utilization and effectiveness; and effects indicated changes require for performance and quality improvement (PQI).
    • Reviews and maintains client care protocols and standards, ensuring that all federal and state policies, regulations, and guidelines for client care are met.
    • Trains, supervises, evaluates and promotes clinical staff.
    • Ensures equitable access to services and equitable outcomes for all JFS clients. Promotes and ensures successful implementation of all clinical department-related DEI efforts.
    • Implements strategies for generating resources and/or clinical revenues for JFS.
    • Implements and evaluates all JFS clinical care services, as well as all associated administrative operations and activities.
    • Serves as a member of the Performance and Quality Improvement (PQI) team by reviewing essential service delivery processes.
    • Supervises clerical support staff as needed.
    • Represents the agency at various community and/or partner agency meetings; promotes existing and new programs.
    • Provides and organizes ongoing training sessions for staff as needed.
    • Demonstrates teamwork and support of the JFS mission and values.
    • Performs other duties as required or assigned.
    • Complies with all JFS and associated organizations’ policies and standards.

    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:

    • Knowledge of clinical programs, best practice standards, evidence-based treatment methods and outcome measurement.
    • Skill in examining clinical procedures and implementing new strategies.
    • Knowledge of evaluation and statistics methods.
    • Ability to supervise/train staff and to foster a cooperative work environment among clinical therapists, psychiatrists and diagnostic testers.
    • Advanced verbal and written communication skills, presentation skills, and the ability to work with a wide range of stakeholders, in a diverse community.
    • Ability to respond to sensitive and confidential client issues, including, but not limited to: crisis intervention, managing violent individuals, child sexual and physical abuse, domestic abuse, sexual orientation, gender identity, drug/alcohol dependency/abuse, and divorce.
    • Ability to use general office equipment, computers, and related software programs.

    Licenses, Certifications and Professional Affiliations: Missouri Licensure as clinical social worker, counselor, or clinical psychologist required.

    Supervisory Responsibilities:

    • Social Workers
    • Counselors
    • Psychologists
    • Psychological Examiners
    • Psychiatrists
    • School-Based and Office-Based Therapists

    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:

    • Traditional PPO or High Deductible Health Plan (HDHP) Medical Plans.
      • $50 per month for employee only coverage.
    • Flexible Spending Account (FSA) or Healthcare Savings Account (HSA)
      • JFS contributes $100 per month to your HSA after establishing an account.
    • Dental
    • Vision
    • Employer paid short-term disability.
      • Eligible first of the month after employment.
    • Employer paid life/Accidental Death & Dismemberment insurance.
      • 2X your salary.
      • Eligible first of the month after one year of employment.
    • Employer paid long-term disability.
      • 60% of your monthly salary.
      • Eligible first of the month after one year of employment.
    • Voluntary Life/Accidental Death & Dismemberment.
    • Voluntary Accident
    • Voluntary Critical Illness
    • Voluntary Hospital Indemnity
    • 401(k)
    • Employee Assistance Plan
    • Voluntary Pet Insurance

    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.

  • 15 Days Ago

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Director
  • A World of Discoveries Day Care Services
  • Columbia, MO FULL_TIME
  • Role of the DirectorThe Director is responsible for all aspects of managing the program's development, supervision, enrollment, and the facilities. The Director is to ensure the smooth flow of the pro...
  • 2 Days Ago

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Director
  • A World of Discoveries Day Care Services
  • Jefferson, MO FULL_TIME
  • Role of the Director The Director is responsible for all aspects of managing the program's development, supervision, enrollment, and the facilities. The Director is to ensure the smooth flow of the pr...
  • 13 Days Ago

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Director Business Development, Biotherapeutics Services
  • Eurofins USA Discovery Services
  • Saint Charles, MO FULL_TIME
  • Company Description Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our e...
  • 19 Days Ago

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Director of Quality-Cardinal Ritter Senior Services
  • Cardinal Ritter Senior Services
  • St. Louis, MO FULL_TIME
  • Cardinal Ritter Senior Services, one of South County's largest independent, assisted living, skilled nursing and rehabilitation nonprofit senior living communities, seeks compassionate and experienced...
  • 20 Days Ago

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Director of Home Care/ Private Duty Services
  • Lutheran Senior Services
  • Brentwood, MO FULL_TIME
  • Introduction At Lutheran Senior Services, team members at all levels find their calling in our mission of Older Adults Living Life to the Fullest . In this work environment, all team members are part ...
  • Just Posted

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0 Reimbursement Services Director jobs found in Saint Louis, MO area

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Project Director
  • icon Mechanical
  • Granite City, IL
  • icon Mechanical Opportunity: Project Director icon Mechanical is seeking qualified professionals to join our Project Man...
  • 4/27/2024 12:00:00 AM

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Technical Director
  • Perficient
  • Saint Louis, MO
  • Job Description We currently have a career opportunity for a Technical Director to join our team located in Denver, CO. ...
  • 4/27/2024 12:00:00 AM

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Project Director
  • Icon Mechanical
  • Granite City, IL
  • icon Mechanical Opportunity: Project Director icon Mechanical is seeking qualified professionals to join our Project Man...
  • 4/26/2024 12:00:00 AM

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Project Director
  • Clayco
  • Saint Louis, MO
  • About Us: Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering and cons...
  • 4/26/2024 12:00:00 AM

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Director of Operations
  • Hyman Ltd.
  • Saint Louis, MO
  • Overview Hyman Ltd is internationally recognized as one of the most respected names in the classic and collectible vehic...
  • 4/25/2024 12:00:00 AM

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Executive Director
  • Careerbuilder
  • Saint Louis, MO
  • Northeast Energy Efficiency Partnerships (NEEP) Northeast Energy Efficiency Partnerships, Executive Director, Boston, MA...
  • 4/25/2024 12:00:00 AM

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Project Director
  • Clayco
  • Overland, MO
  • About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and cons...
  • 4/23/2024 12:00:00 AM

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RN Director of Nursing
  • Ascension
  • St Louis, MO
  • Details Sign-on bonus: $10,000 Department: Skilled Nursing Schedule: Full-Time, Days Facility: Sherbrooke Village Locati...
  • 4/18/2024 12:00:00 AM

St. Louis (/seɪnt ˈluːɪs/) is an independent city and major inland port in the U.S. state of Missouri. It is situated along the western bank of the Mississippi River, which marks Missouri's border with Illinois. The Missouri River merges with the Mississippi River just north of the city. These two rivers combined form the fourth longest river system in the world. The city had an estimated 2017 population of 308,626 and is the cultural and economic center of the St. Louis metropolitan area (home to nearly 3,000,000 people), which is the largest metropolitan area in Missouri, the second-largest ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$147,461 to $209,987
Saint Louis, Missouri area prices
were up 0.7% 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