Reimbursement Services Director jobs in Vermont

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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Associate Director - Community Developmental Services
  • Washington County Mental Health Services
  • Barre, VT FULL_TIME
  • POSITION: Associate Director

    DEPARTMENT: Community Developmental Services

    RESPONSIBLE TO: Assistant Director Community Developmental Services

    SUMMARY OF POSITION:

    CDS Associate Director is responsible for providing supervision and support to personnel as well as ensuring the fiscal and clinical integrity of the program. In this managerial role, the Associate Director will be under the direct supervision and mentorship of the Assistant CDS Program Director, the position also involves collaborating and working closely with CDS and WCMHS administrators/personnel, and VT State Agencies.

    Skills: The successful applicant must be familiar the Vermont Disabilities System, Medicaid Waivers, case management, the provision of community based day services, supported employment, and transition services, Self-determination and Recovery models of community based services, and have managerial and supervisory experience.

    SPECIFIC DUTIES AND RESPONSIBILITIES:

    · Supervise and support assigned Coordinators and staff in their duties.

    · Supervise and direct assigned clinical support staff in their duties and priority of case assignments.

    · Work with Director, Assistant Director & Intake Coordinator in the assignment of new individuals to Community Services Case Manager.

    · Communicate and collaborate within programs.

    · Oversee and ensure quality assurance and technical compliance as mandated by Division of Developmental Services and the Developmental Disabilities Act.

    · Assure adherence to all Washington County Mental Health Services, policies and procedures.

    · Provide coordination and aid in emergency situations as appropriate. On-call responsibility as determined by Crisis Intervention Team (Administrator on call).

    · Ensure that Medicaid Waiver Eligibility Forms and Community Eligibility and Waiver Adjustment forms are completed in a timely manner and reflect accurately service provision and necessary financial supports.

    · In collaboration with Assistant and Program Director, approve programmatic expenses including staff expenses, trainings, payment request vouchers and emergency respite.

    · Mandated reporter in any incident of suspected or alleged abuse or neglect of an individual or child served by Community Developmental Services as well as elderly persons.

    · Scheduled Administrative on-call for CDS program during the week and weekends on a rotational basis. This includes responding to pager calls and shared oversight of Crisis Team response. May require follow up with WCMHS Administration and/or Department of Aging and Disability as needed.

    · Participate in appropriate agency, community and statewide committees including the Leadership Team (CDS) and related CDS committees.

    · Monitor and review incident reports with Community Services Case Managers.

    · Attend trainings, in-services and / or conferences to assure professional growth as approved by their supervisor.

    · Collaborate with HR around any personnel issues in a timely manner.

    · Have available a safe and reliable vehicle. Possess an excellent driving record and valid driver’s license to transport consumers if needed and attend any necessary meetings.

    · Oversee the interview process of staff under their direction and supervision making final recommendations to the Division Director or designee.

    · Participate in regularly scheduled staff meetings.

    · Work with the Utilization and Technical Compliance in assuring that all waivers and services are compiled for necessary audits.

    · Ability to become a UEMR Super-User to support & train staff.

    · Additional duties as required or assigned by supervisor.

    QUALIFICATIONS:

    Master’s Degree preferred in related field or QDDP with five years managerial / supervisory experience. The preferred candidate will possess strong interpersonal and communication skills, demonstrate flexibility, have knowledge of DS Medicaid rules and regulations, have knowledge of the DD Act of 1996, knowledge of Facilitated Communication and have strong computer skills. Valid driver’s license, excellent driving record, and a safe, insured vehicle required.

    WHAT WE OFFER:

    · Competitive salary

    · Generous medical, dental, vision, life and accident insurance – WCMHS covers 82.5 – 92% of premium costs.

    · Matching 403(b) – match begins at 4.25% and increases based on years of service.

    · Employee assistance plan.

    · Generous sick and vacation accruals. Full- and part-time regular positions receive 12 days’ vacation and 12 days sick time annually - prorated based on standard hours.

    · 12.5 paid holidays annually.

    · Mileage reimbursement for agency related travel.

    · Fun and engaging environment and the ability to give back to the local community.

    EOE

    For information on the above position contact.

    WCMHS, Personnel, PO Box 647, Montpelier, VT 05601-0647 (802)-229-0591

    Email: recruitment@wcmhs.org, Fax: 223-8623

  • 1 Month Ago

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Reimbursement Specialist
  • Clara Martin Center
  • Randolph, VT FULL_TIME
  • We are currently seeking an Eligibility & Reimbursement Specialist to join our Billing team in Randolph. This position requires a high level of accuracy and attention to detail in addition to being ab...
  • 1 Month Ago

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Director of Special Services
  • Springfield School District
  • Springfield, VT FULL_TIME
  • Job Summary: The Director of Special Services is responsible for the day to day provision of all special education and psychological, behavioral and evaluation services. Primary responsibility is to a...
  • 16 Days Ago

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Director of Perioperative Services
  • Clinical Management Consultants
  • Rutland, VT FULL_TIME
  • An award winning health system in Vermont is looking for a skilled Operating Room Director! Located in central Vermont, this medical center serves as a leading healthcare institution in the region. It...
  • 17 Days Ago

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Surgical Services Nursing Director
  • Clinical Management Consultants
  • Essex, VT FULL_TIME
  • An exciting opportunity for a Surgical Services Nursing Director is available in Northern Vermont! An award winning facility is looking for a dynamic Surgical Services Nursing Director to lead their S...
  • 17 Days Ago

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Director of Special Services
  • Springfield School District - VT
  • Vermont, VT OTHER
  • Job Summary: The Director of Special Services is responsible for the day to day provision of all special education and psychological, behavioral and evaluation services. Primary responsibility is to a...
  • 18 Days Ago

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Director of Operations
  • UHC Solutions
  • Los Angeles, CA
  • The Director of Clinic Operations is responsible for the overall planning, development, coordination, implementation and...
  • 4/26/2024 12:00:00 AM

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Dental Director
  • UHC Solutions
  • Fort Dodge, IA
  • WE ARE HIRING A DENTAL DIRECTOR! Community Health Center of Fort Dodge is hiring a Dental Director to join our exception...
  • 4/24/2024 12:00:00 AM

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Executive Director
  • Ambercare
  • Albuquerque, NM
  • Ambercare is looking for a full-time Executive Director to join our fast growing hospice team in the city of Albuquerque...
  • 4/23/2024 12:00:00 AM

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Operations Director
  • Chick-fil-A
  • Wyncote, PA
  • Thank you for your interest at a great career opportunity with Chick-fil-A. Here, you are taking the first step towards ...
  • 4/22/2024 12:00:00 AM

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Director of Preconstruction
  • Wallick Communities
  • New Albany, OH
  • Description Wallick’s Construction team is currently seeking an experienced Construction professional for a Director of ...
  • 4/3/2024 12:00:00 AM

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Program Director
  • ChanceLight Behavioral Health, Therapy, & Education
  • Poulsbo, WA
  • 🚩 Starting Rate: $90K +💸 ChanceLight Behavioral Health, Therapy, & Education, a growing, dynamic organization with a s...
  • 4/2/2024 12:00:00 AM

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Executive Director
  • Wallick Communities
  • Columbus, OH
  • Description We need you at the Ashford on Broad at our Executive Director. Come be a part of the Wallick Team - where we...
  • 4/1/2024 12:00:00 AM

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Executive Director
  • Life Space Communities
  • Amarillo, TX
  • Community: The Craig Address: 5500 SW 9th Ave Amarillo, Texas 79106 Pay Range $139,900. 00-$202,912. 50+ Annual Live you...
  • 9/22/2023 12:00:00 AM

Vermont is located in the New England region of the Northeastern United States and comprises 9,614 square miles (24,900 km2), making it the 45th-largest state. It is the only state that does not have any buildings taller than 124 feet (38 m). Land comprises 9,250 square miles (24,000 km2) and water comprises 365 square miles (950 km2), making it the 43rd-largest in land area and the 47th in water area. In total area, it is larger than El Salvador and smaller than Haiti. It is the only landlocked state in New England, and it is also the easternmost and the smallest in area of all landlocked sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$147,762 to $210,416

Reimbursement Services Director in Huntington, NY
Mediware’s reimbursement team provides trusted home infusion and DME reimbursement services including complete outsourced billing and collections, consulting, due diligence services, and flexible collection project options.
February 13, 2020
Reimbursement Services Director in Salem, OR
Tuition Reimbursement Services, or Programs, are also referred to as Tuition Assistance Programs.
February 18, 2020
Reimbursement Services Director in Queens Village, NY
Manages the team member’s and workload of the Audit/Reimbursement unit to ensure compliance with the standards set forth by the Centers for Medicare and Medicaid Services (CMS).
December 17, 2019