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)
Hours required for position: 8:00am to 4:30pm or 9:00am-5:30pm
Who We Are:
Join a passionate and caring team who work collaboratively to support our clients! At Selah House, staff provide comprehensive and compassionate care for adolescent and adult women who are diagnosed with eating disorders. Selah House is the only licensed inpatient, residential, and partial hospitalization program (PHP) eating disorder treatment center in the state of Indiana.
What We Offer:
How You Will Contribute:
The Patient Account Specialist is responsible for verification of benefits and overall Revenue Cycle functions. The Patient Account Specialist helps improve cash flow and participates in increasing the overall health of the company’s receivables.
Essential Responsibilities
ISJP123
What We Are Seeking:
Other Requirements
Position requires incumbent to have a valid driver’s license and vehicle insurance.
Selah House provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Selah House reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains At-Will.
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