Reimbursement Specialist - Healthcare jobs in Cape Coral, FL

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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Healthcare Quality Assurance Specialist
  • Millennium Physician Group
  • North Fort Myers, FL FULL_TIME
  • HEALTHCARE QUALITY ASSURANCE SPECIALIST

    FULL TIME-flexible schedule between 6am-6pm

    HYBRID-North Fort Myers/Remote

    Millennium Physician Group is seeking to hire a full-time Healthcare Quality Assurance Specialist to join our team. We are looking for a new team member who is positive, energetic, well-organized, innovative, and organized. We want someone who supports our top initiative of ensuring an excellent patient experience!

    The Quality Assurance Specialist is responsible to assist the department in ongoing HEDIS collection and Quality Improvement Activities. The position reports to Quality Assurance management. This position includes ongoing quality improvement activities to assure the organization's quality programs are implemented and meet all requirements for successful HEDIS and quality metric reporting to contracted carriers.

    Minimum three years experience in a medical office and current CMA/RMA license.

    Essential Duties and Responsibilities include the following. Other duties may be assigned.

    • Conducts patient outreach to order and schedule preventative services and tests and informs patients of results based on physician leadership guidance.
    • Assists quality team in performing chart reviews for upcoming scheduled visits.
    • Identifies patient quality care needs on an ongoing basis for completion and reporting to carriers.
    • Provides feedback on areas of opportunity for HEDIS and other contract-mandated quality metrics.
    • Works independently under the supervision of the Quality Assurance Supervisor and cohesively with Quality team.
    • Maintains department equipment and supplies.
    • Utilizes electronic health record, multiple payer portals, databases, and file types.
    • Assists department with claim work lists related to coding and quality initiatives.
    • Exhibits strength in verbal and written communication and prioritization of assignments.
    • Recognizes the confidentiality of the work assignments and department assignment.

    Benefits:

    • 3 weeks PTO & 7 paid holidays
    • Medical, Dental, Vision
    • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
    • 401(k) with match
    • Employee Wellness
    • Other Employee Discount programs like Tickets at Work and cell phone discounts
    • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more


    See Full Job Description for more details


    Why Millennium?

    Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

    At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

    Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

    If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice

  • Just Posted

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Superintendent
  • CNM Specialist Recruitment Limited
  • Naples, FL FULL_TIME
  • My client is an established, well-respected specialist full-service general contractor based out of Fort Myers, FL. They are looking for a Construction Superintendent with experience in Multifamily or...
  • 23 Days Ago

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Assembly Technician (PT)
  • Apollo Retail Specialist
  • Naples, FL PART_TIME
  • Can’t stand being stuck behind a desk? Like working solo? Good with your hands? We have the perfect job for you as a Service Technician! Go store to store and work independently to keep the furniture ...
  • 2 Days Ago

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Fiber Splicer Technician
  • Cable Wiring Specialist
  • Springs, FL FULL_TIME
  • Cable Wiring Specialist, Inc. (CWSI) provides a large suite of construction and engineering services to the cable and Fiber Optic communications industry. With a large workforce and fleet located thro...
  • 5 Days Ago

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Sub-Contractor Central Florida
  • Cable Wiring Specialist
  • Springs, FL CONTRACTOR
  • Cable Wiring Specialist, Inc. (CWSI), where safety meets excellence, provides a vast array of construction and engineering services to the Telecommunications industry. With a large workforce and fleet...
  • 5 Days Ago

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Superintendent (Commercial construction)
  • CNM Specialist Recruitment Limited
  • Fort Myers, FL FULL_TIME
  • My client is a commercial General Contractor based out of Fort Myers, FL with offices in Naples, FL. Their work is within the Southwest of Florida and is generally between $3-12 million. They are invo...
  • 8 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Cape Coral, FL area

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Talent Acquisition Manager / Human Resources / #8047
  • City of Cape Coral, FL
  • Cape Coral, FL
  • Salary : $82,076.80 - $131,331.20 Annually Location : CITY OF CAPE CORAL, FL Job Type: Full-Time Regular Job Number: 080...
  • 3/28/2024 12:00:00 AM

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Code Enforcement Specialist
  • Lee County, FL
  • Fort Myers, FL
  • Salary: $16.50 - $30.58 Hourly Location : Fort Myers, FL Job Type: Full-Time Regular Job Number: 07013LC Department: D C...
  • 3/28/2024 12:00:00 AM

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Administrative Specialist, Senior
  • Lee County, FL
  • Fort Myers, FL
  • Salary : $38,834.38 - $73,018.66 Annually Location : Fort Myers, FL Job Type: Full-Time Regular Job Number: 07010BB Depa...
  • 3/28/2024 12:00:00 AM

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Pest Control Specialist
  • Rentokil Initial Group
  • Cape Coral, FL
  • **Pest Control Specialist** CAROUSEL_PARAGRAPH * Cape Coral, Florida * Technical Services * 30550 ** Share Job** ** Job ...
  • 3/26/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Cape Coral, FL
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 3/26/2024 12:00:00 AM

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Consumer Loan Sales Specialist
  • OneMain Financial
  • Cape Coral, FL
  • At OneMain, Consumer Loan Sales Specialists empower customers listening to their needs and providing access to friendly,...
  • 3/25/2024 12:00:00 AM

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Member Support Associate (Work From Home)>
  • Modern Health
  • Cape Coral, FL
  • [Customer Service / Remote] - Anywhere in U.S. / Competitive Pay / Medical, Dental, Vision, Disability & Life Insurance ...
  • 3/24/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Fort Myers, FL
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 3/6/2024 12:00:00 AM

Cape Coral /ˈkɒrəl/ is a city located in Lee County, Florida, United States, on the Gulf of Mexico. Founded in 1957 and developed as a planned community, the city grew to a population of 154,305 by the year 2010. The city's population estimate was 165,831 for 2013 and 179,804 for 2016. With an area of 120 square miles (310 km2), Cape Coral is the largest city between Tampa and Miami. It is a principal city in the Cape Coral – Fort Myers, Florida Metropolitan Statistical Area. The population estimate for the statistical area was 679,513 for 2014. The city is known as a "Waterfront Wonderland";...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,400 to $51,521
Cape Coral, Florida area prices
were up 1.5% from a year ago

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