Reimbursement Services Director - Home Care jobs in New Jersey

Reimbursement Services Director - Home Care directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Being a Reimbursement Services Director - Home Care monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. Additionally, Reimbursement Services Director - Home Care may require an advanced degree. Typically reports to top management. The Reimbursement Services Director - Home Care 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 - Home Care typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Associate, Reimbursement Collections
  • BAYADA Home Health Care
  • Pennsauken, NJ FULL_TIME
  • BAYADA Home Health Care is seeking a Healthcare Reimbursement Associate to work in our Enterprise Reimbursement Services office in our state-of-the-art facility in Pennsauken, NJ. Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business? Then the Reimbursement Associate position might be right for you!

    This is an in-office position. Qualified candidates must be able to work in our Pennsauken, NJ office.

    MINIMUM QUALIFICATIONS:


    • Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
    • Degree preferred (combination of education and experience may be used in lieu of degree)
    • Minimum of one (1) year experience with Healthcare collections/accounts receivable experience
    • Intermediate experience with Microsoft Excel
    • Demonstrated record of strong interpersonal skills.
    • Demonstrated record of goal achievement.
    • Prior health care and home care experience is a plus.
    • Competence in basic PC skills required to perform job functions.


    PRIMARY RESPONSIBILITIES:


    • Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
    • Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying.
    • Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities.
    • Complete administrative appeals and escalation of outstanding claim issues with payor organizations.
    • Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization.
    • Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment.
    • Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services.
    • Review, document and communicate any claim processing or related changes initiated by payor organizations.
    • Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow.
    • Ability to met/exceed established performance goals


    BAYADA believes that our employees are our greatest asset:


    • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
    • To learn more about BAYADA Benefits, click here


    As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

    BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
  • 12 Days Ago

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Medical Reimbursement Associate
  • BAYADA Home Health Care
  • Pennsauken, NJ FULL_TIME
  • BAYADA Home Health Care is seeking a Healthcare Medical Reimbursement Associate to work in our Enterprise Reimbursement Services office in our state-of-the-art facility in Pennsauken, NJ. Are you look...
  • 2 Days Ago

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Regional Director of MDS/Reimbursement
  • Connect Senior Care
  • Lakewood, NJ FULL_TIME
  • A privately owned company that owns skilled nursing facilities in multiple states is looking for astrong Regional Director of MDS/ Reimbursement to oversee their facilities. Responsibilities: Promote ...
  • 2 Days Ago

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Director of Therapy Services
  • Summit Home Care
  • Brick, NJ FULL_TIME
  • Summit Home Care is seeking a dedicated and experienced Director of Therapy Services to lead and expand our newly established Therapy Department serving the 21 year-old IDD (Intellectual and Developme...
  • 9 Days Ago

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Home Health Care Visiting Nurse
  • Gentle Care Home Services
  • Piscataway, NJ PART_TIME,OTHER
  • Home Health Care Visiting Nurse in NJ needed. Each client is seen every 2 months and requires a supervised home visit with their Home Health Aide. RN needed throughout NJ. Office is located in North B...
  • 19 Days Ago

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Companion Personal Home Care Aides.
  • ANGEL CARE HOME COMPANION SERVICES
  • Jersey, NJ FULL_TIME
  • This job offer is not available in your country. Non-medical home companion care throughout New Jersey. CNA and or HHA preferred. Must be authorized to work and pass background check. 1 hour ago
  • Just Posted

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Director Managed Care
  • Fulgent Genetics, Inc.
  • Coppell, TX
  • Job Details Level: Experienced Job Location: IDX Coppell TX Site - Coppell, TX Position Type: Full Time Education Level:...
  • 6/11/2024 12:00:00 AM

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Wellness Director - Resident Care Director
  • Heritage Green Assisted Living
  • Mechanicsville, VA
  • SAME DAY PAY available! If you would like to work in a positive environment and use your talents and experience to make ...
  • 6/10/2024 12:00:00 AM

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Director of Care Coordination
  • Elliot Hospital
  • Manchester, NH
  • Position Summary The Director of Care Coordination is responsible for the execution of strategic development for Care Co...
  • 6/10/2024 12:00:00 AM

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Director of Care
  • The Shoshana
  • Philadelphia, PA
  • About The Shoshana: The Shoshana is a pioneering postnatal retreat dedicated to supporting new mothers and their familie...
  • 6/9/2024 12:00:00 AM

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Deputy Executive Director - Virtual Express Care (Director Health Care Standards)
  • NYC Health + Hospitals
  • New York, NY
  • About NYC Health + Hospitals: Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible NYC He...
  • 6/8/2024 12:00:00 AM

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Home Care Director
  • Lifespace Communities
  • Lombard, IL
  • Community: Beacon Hill Address: 2400 S Finley Road Lombard, Illinois 60148 Pay Range $102,500.00-$140,975.00+ Annual Liv...
  • 6/4/2024 12:00:00 AM

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Memory Care Director
  • Sunrise Senior Living
  • Burlington, MA
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 6/3/2024 12:00:00 AM

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Memory Care Director
  • Sunrise Senior Living
  • Broomfield, CO
  • Overview The Reminiscence Coordinator is responsible for providing overall leadership and management of the reminiscence...
  • 5/28/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director - Home Care jobs
$77,594 to $110,735

Reimbursement Services Director - Home Care in Queens Village, NY
You can also contract for short-term collections services, consulting, or staff training to meet your unique business needs.
January 29, 2020
Reimbursement Services Director - Home Care in Moline, IL
A health care agency is not obligated to pay this amount, though you may be entitled to declare reimbursement as income and deduct vehicle expenses using the IRS mileage rate.
February 24, 2020
Reimbursement Services Director - Home Care in Des Moines, IA
The reimbursement policies for health care agencies vary widely, so know agency policy and how much driving you can expect before accepting a job.
February 22, 2020