Reimbursement Specialist - Healthcare jobs in Connecticut
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Manager
- Day Kimball Healthcare
-
Putnam, CT
FULL_TIME
-
Job Title: Reimbursement ManagerDepartment: FinanceHours: 40 hoursShift: 1st | 8:00am-4:30pmJOB SUMMARY:Under the supervision of the Vice President of Finance, the Reimbursement Manager gathers and compiles financial and operational data, analyzes and summarizes that data in a manner which accurately represents financial results and complies with government regulations and third-party contracts.SKILLS AND ABILITIES:
- Maintains accurate and timely information regarding 3rd party reimbursement and prepares financial and statistical reports including Medicare and Medicaid DRG payment analyses.
- Designs and maintains databases for allocation statistics and physician information used in Medicare cost reporting.
- Assists with all aspects of Medicare cost reporting, including expense analysis and statistics gathering.
- Performs functions for month-end financial reporting of net revenue and assists with year-end financial audits.
- Assists in development of hospital operating budgets, particularly in regard to gross and net revenue, charge amounts, volumes, proper coding and system interfaces.
- Performs miscellaneous analyses and studies for use in the Medicare Cost report, other official filings, and surveys as required.
- Responds to questions from financial, government, and 3rd party auditors.
- Utilizes specialty computer programs, such as for Medicare cost reporting and contract management. Understands general ledger and patient accounting systems and program interfaces and can determine most efficient and accurate source of information.
- Performs other duties as required.
- Demonstrate efforts to maintain and improve job specific competencies. Incorporate new knowledge into practice.
- Participate in continuous quality improvement activities.
- Remain flexible in work schedule in order to provide the most effective and efficient support for the department and hospital mission.
- Although position has no responsibility for the assessment, treatment or care of patients, must demonstrate ability to communicate and interact with patients and customers of all ages.
- Demonstrate knowledge of all department and hospital policies relevant to the performance of their responsibilities.
- Demonstrate knowledge and application of fire safety, hazardous communication program and general safety.
QUALIFICATIONS:1. BA/BS in Accounting, Business, or Finance; MBA preferred2. Experience in health care and reimbursement preferred.3. Strong analytical, technical and organizational skills required as well as excellent interpersonal and communication skills.4. Experience and proficiency with computers and in software spreadsheet applications required.5. Excellent motivational skills as well as the ability to be a change agent.Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day Kimball HomeCare, Hospice & Palliative Care of Northeastern CT, Day Kimball HomeMakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities. Day Kimball Healthcare’s comprehensive network offers more than 1,400 employees including nearly 300 associated, highly-skilled physicians, surgeons and specialists. Its website is daykimball.org.Day Kimball Healthcare is an Affirmative Action / equal opportunity employer committed to providing equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.
- 1 Day Ago
Insurance Reimbursement Specialist
- Aspira Women's Health
-
Trumbull, CT
FULL_TIME
- Job Title: Insurance Reimbursement Specialist Department: Billing Reports To: Manager of RCM Location: Trumbull, CT Terms: Full-time (40 hours) Requirements: Monday-Friday, 8-hour shift POSITION SUMMA...
- 1 Day Ago
Accounts Receivable Reimbursement Specialist
- Orthopaedic Specialty Group
-
Shelton, CT
FULL_TIME
- JOB SUMMARY: Ability to identify reimbursement trends. Follows up on rejected claims and under payments using Practice Management software and Explanation of Benefit forms. Builds and maintains relati...
- 26 Days Ago
Triage LPN
- Women's Health Connecticut / Specialist in Women's Healthcare
-
Waterbury, CT
FULL_TIME
- Women’s Health CT is currently seeking a Licensed Practical Nurse (LPN) for one of our fast paced OB/GYN practices. Position: LPN (Licensed Practical Nurse)Location: Specialist in Women's HealthcareAd...
- 13 Days Ago
Billing Specialist Insurance & Medicare Reimbursement (Full-time)
- Jewish Senior Services
-
Bridgeport, CT
FULL_TIME
- Summary: Responsible for collecting, posting and managing account payments. Responsible for billing and tracking Medicare A/B and Insurance Accounts. Reports To: Supervisor, Accounts Receivable Titles...
- 1 Month Ago
Third Party Reimbursement Specialist - Health Services - (N267-2324)
- Hartford Public Schools
-
Hartford, CT
FULL_TIME
- POSTING NUMBER: (N267-2324) POSTING DATE: February 26, 2024 CLOSING DATE: March 8, 2024 POSITION: Third Party Reimbursement Specialist REPORTS TO: Director of Nursing and Clinical Services POSITION SU...
- 2 Months Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
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...
- 4/19/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Bluebird Staffing
-
- REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
- 4/19/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Bedford, MA
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/19/2024 12:00:00 AM
PN Reimbursement Specialist
- Cook Children's Health Care System
-
Arlington, TX
- The underpayment specialist is responsible for payment variance activities related to the incorrect processing of claims...
- 4/19/2024 12:00:00 AM
Reimbursement Specialist
- Addus Homecare
-
Downers Grove, IL
- >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
- 4/17/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/17/2024 12:00:00 AM
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 char...
- 4/16/2024 12:00:00 AM
AR Reimbursement Specialist
- Crestwood Behavioral Health
-
Stockton, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/15/2024 12:00:00 AM
About Connecticut
Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,381 to $58,789
Most Popular Cities in Connecticut for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
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