Reimbursement Services Director jobs in Hawaii

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 Analyst
  • Kaiser Permanente
  • Wailuku, HI OTHER
  • Job Summary:

    The Reimbursement Analyst will be responsible for preparing the monthly contractual allowances for all payors and prepare analyses for month-end close meetings.  The Reimbursement Analyst will be assisting in the annual contractual budget and forecasting processes. The Reimbursement Analyst will maintain and work with auditors in validating information as reported on the financial statements. The analyst should have a proficient knowledge of federal and state rules and regulations.

    Essential Responsibilities:


    • Prepares the calculation of Accounts Receivable and reserves for all payors including the timely submission of the monthly journal entry.

    • Prepares all contractual allowance percentages from zero balance account data.

    • Prepares trend reports and analyses of charges, payments and contractual allowance and explain significant variances.

    • Assists in the annual contractual budget and forecasting process.

    • Assists with the annual financial audit.

    • Reviews payor contract rates and ensures timely update of contract provisions in the EPIC contract management system.

    • Perform reviews of over and under payments based on expected reimbursement to amounts allowed by payors.

    • Researches root-cause for issues arising from the monthly AR valuation.

    • Performs interim-month reviews of patient accounts and evaluate impact on month-end AR valuation.

    • Work with Patient Financial Services to determine impact of billing operations to AR valuation.

    • Work with revenue cycle staff to acquire data regarding payment, denials and other related data as it relates to AR valuation.

    • Prepares logs and data needed for the preparation of Medicare and Medicare cost reports and interim reviews.

    • Prepares Medicaid logs that match the Medicaid cost report in the required format in a timely manner.

    • Prepares various financial analyses as requested by management.

    • Maintains current working knowledge of Medicare, Medicaid and other regulations.

    • Prepares and analyzes financial data for opportunities.

    • Attends staff meetings, designation mandatory meetings, and completes annual competency testing.
  • 25 Days Ago

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Director Maternal Child Services
  • Health eCareers
  • Honolulu, HI FULL_TIME
  • Job SummaryThe position assumes responsibility for developing strategy, leading operations and partnering with physician leaders and other key stakeholders. This position serves as a key member of the...
  • 5 Days Ago

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Director Technology Support Services
  • Rehabilitation Hospital of the Pacific
  • Honolulu, HI FULL_TIME
  • Company Description Rehabilitation Hospital of the Pacific (REHAB) is a premier acute-care rehabilitation hospital located in Honolulu, HI. Since 1975, REHAB has been dedicated to providing high-quali...
  • 5 Days Ago

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Assistant Director of Housekeeping Services
  • Marriott International
  • Wailea, HI FULL_TIME
  • Additional Information AAA Hotel ClassificationJob Number 24082428Job Category Housekeeping & LaundryLocation Wailea Beach Resort - Marriott Maui, 3700 Wailea Alanui Drive, Wailea, Hawaii, United Stat...
  • 6 Days Ago

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Director Perioperative Services
  • Health eCareers
  • Wailuku, HI FULL_TIME
  • Job SummaryProvides strategic, administrative and financial accountability for planning, directing, staffing, coordinating, and controlling functions and activities in the perioperative service areas....
  • 10 Days Ago

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Director of Front Services
  • OUTRIGGER Hospitality Group
  • Lihue, HI FULL_TIME
  • It's fun to work in a company where people truly BELIEVE in what they're doing!Job Description:Work in a company where people truly believe in what they’re doing. At OUTRIGGER Resorts & Hotels, we loo...
  • 11 Days Ago

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Afternoon Assistant Teacher/After Care Program Supervisor
  • Nebraska Department of Education
  • Lincoln, NE
  • Montessori School for Young Children Afternoon Assistant Teacher/After Care Program Supervisor Preferred Qualifications ...
  • 6/11/2024 12:00:00 AM

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Director
  • Leadenhall Search & Selection
  • Leadenhall Search and Selection are working with a global consulting firm, specialising in talent strategies. With a foc...
  • 6/10/2024 12:00:00 AM

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Director
  • New York Kids Club
  • New York, NY
  • Job Type Full-time Description NY Kids Club & NY Preschool is New York's premier children's enrichment space and accredi...
  • 6/10/2024 12:00:00 AM

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OR Director
  • Insight Global
  • Macon, GA
  • Insight Global is seeking the perfect candidate for a contract to hire Operating Room Director located in Macon, Georgia...
  • 6/10/2024 12:00:00 AM

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Director
  • University of Texas at Dallas
  • Richardson, TX
  • Posting Details Posting Details Posting Number S05701P Position Title Director Functional Title Director, International ...
  • 6/9/2024 12:00:00 AM

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Director
  • PRIDE Health
  • Portland, OR
  • profession: Director specialty: Rehab clientName: Reliant Rehabilitation - Glisan Care Center city: Portland state: OR s...
  • 6/9/2024 12:00:00 AM

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Associate Director/Director
  • BioPhase
  • San Diego, CA
  • We seek an enthusiastic and highly motivated DMPK Lead to join our seasoned drug discovery and early development team. Y...
  • 6/8/2024 12:00:00 AM

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Photo Director/Associate Photo Director
  • Aquent
  • Milwaukee, WI
  • FANTASTIC PHOTO DIRECTOR OPPORTUNITY RELOCATION Assistance Provided if Needed Our client, a leading provider of shipping...
  • 6/7/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$158,118 to $225,162

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