Reimbursement Specialist - Healthcare jobs in Arkansas

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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INFUSION REIMBURSEMENT COORD
  • St. Bernards Healthcare
  • JONESBORO, AR FULL_TIME
  • JOB REQUIREMENTS Education Bachelor#s Degree, Business or Healthcare Administration required. Experience 1-3 years of healthcare experience with knowledge of the reimbursement/denials process. Knowledge of reimbursement systems, Federal, State and payor-specific regulations pertaining to documentation and billing. Knowledge of billing process, possesses process management, leadership and interpersonal skills. Must be proficient in spreadsheet, presentations, word processing and database applications. Requires excellent written and verbal communication skills. Must be able to act independently, have meticulous follow-up skills, organizational skills, prioritization skills and experience working in a team environment. Ability to interact well with physicians, physician offices, Business Office personnel, etc. to obtain appropriate information related to the reimbursement/denial process. Physical Normal hospital business office environment. Extremely close eye work with use of computer up to 8 hours a day. Hearing within normal range. Continuous sitting approximately 90% of the work day. Operates calculator, computer, copier and general office equipment. Occasional walking, bending and lifting of 5-10 pounds. This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. JOB SUMMARY Responsible for monitoring, tracking, aggregating and trending reimbursement and denials information according to discrete outpatient denial codes. Will review for medical necessity. Analyze information related to infusion denials and follow up with appropriate action through the reimbursement and denial process. Works with infusion center to prevent denials. Assists UM Coordinator with denials and appeals. Close out each tracked denial (overturned or recouped). Overall works to increase revenue capture related to infusion center. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center. Must manage competing priorities, multi-task with results oriented outcomes and work in a fast-paced environment. This position is required to utilize independent judgement. This position requires timely response to inquiries from payer. This position has high contact with physicians, clinical areas and business office.
  • 3 Days Ago

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Medical Reimbursement Specialist
  • Washington Regional Medical System
  • Fayetteville, AR FULL_TIME
  • Position Summary The role of the Medical Reimbursement Specialist reports to the Director of Billing & Admissions, in partnership with the Dialysis CEO/Administrator. This position is responsible for ...
  • 14 Days Ago

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Remote Medical Insurance Reimbursement Specialist
  • Community Health Systems Inc.
  • Fort Smith, AR FULL_TIME
  • #REMOT287655 Remote Medical Insurance Reimbursement Specialist 2024-01-08 Organization Shared Services Center - Fort Smith Apply Now Location FORT SMITH , AR ( Shared Services Center - Fort Smith ) Fu...
  • 18 Days Ago

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Remote Medical Insurance Reimbursement Specialist - Managed Medicaid
  • SSC - Fort Smith
  • FORT SMITH, AR FULL_TIME
  • This is a remote position. This is for the Managed Medicaid team. Summary: The Insurance Reimbursement Specialist, under the direction of Accounts Receivable Manager, ensures claims submitted to respo...
  • 1 Day Ago

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Remote Medical Insurance Reimbursement Specialist - Managed Medicaid
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 13 Days Ago

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Remote Medical Insurance Reimbursement Specialist - Managed Medicare
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • The Shared Services Center - Fort Smith provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare pro...
  • 13 Days Ago

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Clinical Reimbursement Specialist - RN
  • Vi Living
  • Palo Alto, CA
  • Overview: Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from th...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southeast Division
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southwest Division
  • Las Vegas, NV
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • CareOne
  • Fort Lee, NJ
  • Now Hiring - Clinical Reimbursement Specialist - Fort Lee, NJ 07024 The Clinical Reimbursement Specialist assures the im...
  • 3/26/2024 12:00:00 AM

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Reimbursement Specialist
  • Vinfen
  • Cambridge, MA
  • Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • By The Bay Health
  • Larkspur, CA
  • This position offers competitive pay, generous benefits, and a supportive work environment! We are seeking a full-time R...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • PROMPTCARE HOME INFUSION LLC
  • New Providence, NJ
  • Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
  • 3/25/2024 12:00:00 AM

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Clinical Reimbursement Specialist - LVN
  • Vi Living
  • Palo Alto, CA
  • Overview: Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from th...
  • 3/19/2024 12:00:00 AM

Arkansas (/ˈɑːrkənsɔː/ AR-kən-saw)[c] is a state in the southern region of the United States, home to over 3 million people as of 2018. Its name is of Siouan derivation from the language of the Osage denoting their related kin, the Quapaw Indians. The state's diverse geography ranges from the mountainous regions of the Ozark and the Ouachita Mountains, which make up the U.S. Interior Highlands, to the densely forested land in the south known as the Arkansas Timberlands, to the eastern lowlands along the Mississippi River and the Arkansas Delta. Arkansas is the 29th largest by area and the 33rd...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,287 to $50,168

Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019