Reimbursement Specialist - Healthcare jobs in Burlington, NC

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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Admissions Specialist - UNC Rockingham Healthcare
  • UNC Health
  • Eden, NC FULL_TIME
  • Description

    Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

    Summary:
    Responsible for coordination of the entire patient admission experience.


    Responsibilities:
    1. Coordinates the entire admission process from inquiry through admittance. Ensures a quality transition for residents and families.
    2. Ensures the proper case mix within budgetary guidelines. Works with managed care/insurance companies to establish payment rates prior to admission.
    3. Maintains consistent contact with referring case managers and social workers for follow up information and problem solving, as needed.
    4. Counsels patients and families regarding financial, social and placement concerns.
    5. Supplies information and markets services of RCCC to the community and referral sources.
    6. Facilitates the quality of resident's life through management of environmental factors and roommate preferences.
    7. Assesses and screens all referrals for admission based on RCCC admission criteria. Coordinates and communicates admissions with clinical services at RCCC.


    Other Information

    Other information:
    Education Requirements:
    • Diploma, Associate's degree (A.A.) or a Bachelor's degree from an accredited School of Nursing or in Social Work preferred.
    Licensure/Certification Requirements:
    Professional Experience Requirements:
    • Two to four years Case Management and/or Long Term Care experience preferred. Two years Admissions Coordinator or Social Worker/Discharge Planner experience in a skilled nursing facility preferred. Working understanding of managed care and Medicare/Medicaid payment systems and their impact on skilled nursing facilities. Excellent Customer Service Skills is required.
    Knowledge/Skills/and Abilities Requirements:
    • Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization Mathematical Skills: Ability to calculate figures and amounts such as proportions, percentages, area, circumference, and volume. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations


    Job Details

    Legal Employer: NCHEALTH

    Entity: UNC Rockingham Health Care


    Organization Unit: MNC Social Services

    Work Type: Full Time


    Standard Hours Per Week: 40.00

    Salary Range: $22.45 - $28.06 per hour (Minimum to Midpoint)

    Pay offers are determined by experience and internal equity


    Work Assignment Type: Onsite

    Work Schedule: Day Job


    Location of Job: US:NC:Eden

    Exempt From Overtime: Exempt: No


    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

    Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

  • 24 Days Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Cary, NC
  • Efland, NC FULL_TIME
  • TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Cary, NCAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen...
  • 1 Day Ago

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Regional Reimbursement
  • SanStone Health & Rehabilitation
  • Greensboro, NC FULL_TIME
  • Regional MDS provides support, education, and training to the MDS Coordinators in the facilities on the Resident Assessment Instrument (RAI) process in accordance with the laws, regulation, and compan...
  • 12 Days Ago

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Housing Specialist
  • A Seaside Healthcare Company
  • Greensboro, NC FULL_TIME
  • Equal Employment Opportunity Strategic Interventions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and pr...
  • 1 Month Ago

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Cognitive Performance Specialist
  • Spectrum Healthcare Resources
  • Liberty, NC FULL_TIME
  • Cognitive Performance Specialist ID 2024-21870 Category Behavioral Health & Social Work - Cognitive Behavior Therapist Facility DOD / MTF - North Carolina - Fort Liberty Job Description Spectrum Healt...
  • 1 Month Ago

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Peer Support Specialist, Certified
  • A Seaside Healthcare Company
  • Burlington, NC FULL_TIME
  • Equal Employment Opportunity Strategic Interventions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and pr...
  • 1 Month Ago

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0 Reimbursement Specialist - Healthcare jobs found in Burlington, NC area

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Optometrist
  • North Carolina Primary Vision Care Associates
  • Burlington, NC
  • Company Description At our practice, we believe that the optometrist is the hero of primary eye care, enabling and safeg...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Graham, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Hillsborough, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Morrisville, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Greensboro, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Travel Cath Lab Technologist - $2,362 per week
  • Hiring Now!
  • Burlington, NC
  • LanceSoft is seeking a travel Cath Lab Technologist for a travel job in Burlington, North Carolina. Job Description & Re...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,177 per week
  • PRN Healthcare
  • Burlington, NC
  • TWG Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Burlington, North Carolina. Job Descripti...
  • 4/22/2024 12:00:00 AM

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Employment Specialist / Qualified Professional
  • Easterseals UCP North Carolina & Virginia
  • Burlington, NC
  • Job Description Job Description Easterseals UCP is a non-profit service provider in North Carolina & Virginia. We are se...
  • 4/21/2024 12:00:00 AM

Burlington is a city in Alamance and Guilford counties in the U.S. state of North Carolina. It is the principal city of the Burlington, North Carolina Metropolitan Statistical Area, which encompasses all of Alamance County, in which most of the city is located, and is a part of the Greensboro-Winston-Salem-High Point CSA. The population was 50,042 at the 2010 census, which makes Burlington the 17th largest city in North Carolina. The Metropolitan Statistical Area population was over 150,000 in 2010. Burlington is located at 36°5′23″N 79°26′44″W / 36.08972°N 79.44556°W / 36.08972; -79.44556 ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,165 to $51,235
Burlington, North Carolina area prices
were up 1.5% from a year ago

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MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020