Reimbursement Specialist - Healthcare jobs in Carmel, IN

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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Reimbursement Specialist
  • ClaimAid
  • Indianapolis, IN FULL_TIME
  • Our Reimbursement Specialists are responsible for researching and filing accurate Medicaid claims. Claims and billing experience valued but training will be provided, when needed. This is a full-time position and benefits include:

    • Health insurance
    • Health Savings Account w/company contribution
    • Dental, Vision and Life insurance
    • Nine paid holidays annually
    • Paid vacation and sick time off
    • Paid volunteer time off
    • 401k with company match
    • And more

    PRIMARY RESPONSIBILITIES:

    • Research Medicaid claims and achieve resolution. This may include researching the Medicaid system and/or our Client’s system.
    • Research Medicaid claims until payment has been received in full or until account has to be returned.
    • Research and record progress in ClaimAid’s system (CTS) and our Client’s system.
    • Request necessary documentation from outside sources to properly adjudicate claim.
    • Accurate filing of all necessary documentation.
    • Respond to client’s inquiries pertaining to claims.
    • Maintain confidentiality of patient health information in compliance with HIPAA regulations.

    QUALIFICATIONS:

    • Valued - Knowledge of ICD-10 and CPT coding. Multi-line claims experience a plus, including knowledge of UB04 and CMS1500.
    • Valued - Knowledge of Indiana Medicaid Portal, including all Managed Care payer portals for correcting claims and checking eligibility.
    • Valued - Past experience in office administration, supply chain administration, etc.; any experience that requires strong organizational and time management skills
    • Required - Strong investigative, analytical and judgment skills.
    • Required - Excellent spelling and grammar; phone skills; basic math skills; ability to multi-task; must carefully proof own work.
    • Required - Effective communication skills to convey information accurately, listen effectively, and ask questions when clarification is needed.
    • Required - Must be able to work independently and as part of a team.
    • Required - Professional demeanor both on the phone and in person.
    • Required - High school diploma required.

    PHYSICAL REQUIREMENTS:

    • Hearing: Adequate to perform job duties in person and over the telephone.
    • Speaking: Must be able to communicate clearly in person and over the telephone.
    • Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
    • Requires frequent bending, standing, walking (sometimes at a fast pace and for long periods of time), squatting and sitting.

    The above is intended to describe the general content and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

    Job Type: Full-time

  • 9 Days Ago

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VP Clinical Reimbursement
  • Brickyard Healthcare
  • Indianapolis, IN FULL_TIME
  • The Vice President of Clinical Reimbursement manages reimbursement department with responsibility for the accuracy and completeness of all regulatory filings required for reimbursement under federal a...
  • 1 Month Ago

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Vice President of Reimbursement and Operational Finance, Healthcare
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Vice President, Reimbursement and Operational Finance CommuniCare Health Services is a fast-growing provider of long-term care with over 130 facilities located in 7 states. Due to current growth, we a...
  • 9 Days Ago

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Healthcare Benefits Customer Success Specialist
  • VASA Fitness
  • Linden, IN FULL_TIME
  • POSITION DESCRIPTION POSITION TITLE: Member Experience Specialist (MES)REPORTS TO: Member Experience LeadDIRECT REPORTS: N/AFLSA STATUS: Non-Exempt, HourlyCOMPENSATION: Base rate is $11.60 per hour Co...
  • Just Posted

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Content Marketing Specialist (Healthcare SaaS)
  • Authenticx
  • Indianapolis, IN FULL_TIME
  • Company DescriptionWho is Authenticx?Authenticx is on a mission to help humans understand humans. Our platform is the new standard for humanizing customer interaction data at scale. We do this by chan...
  • 16 Days Ago

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Talent Acquisition Specialist Healthcare - Talent Acquisition Specialist
  • Central Division
  • Fishers, IN FULL_TIME
  • Position Summary The Talent Acquisition Specialist is responsible for sourcing, screening, and presenting qualified candidates to hiring managers to promote a positive candidate experience and support...
  • 1 Day Ago

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0 Reimbursement Specialist - Healthcare jobs found in Carmel, IN area

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Manager of Transformation
  • OPEN OPENLANE US Inc
  • Carmel, IN
  • Who We Are: At OPENLANE we make wholesale easy so our customers can be more successful. We’re a technology company build...
  • 3/28/2024 12:00:00 AM

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SAP ABAP Technical Architect
  • GyanSys Inc.
  • Carmel, IN
  • GyanSys is seeking an SAP Technical Architect to drive our growing SAP Practice. ou will be responsible for developing i...
  • 3/28/2024 12:00:00 AM

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Customer Relations Specialist
  • Renewal by Andersen
  • Carmel, IN
  • Job Description Job Description Customer Relations Specialist Renewal by Andersen - Carmel, IN Renewal by Andersen is th...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,200 per week
  • TRS Healthcare
  • Carmel, IN
  • LanceSoft is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Carmel, Indiana. Job Desc...
  • 3/28/2024 12:00:00 AM

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Clinical Nurse Specialist - Maternity Services
  • Indiana University Health
  • Carmel, IN
  • Job Description IU Health is Indiana's #1 Healthcare system with 16 hospitals and more than 34,000 team members! If you ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse - Adult Medical Surgical (Various Shifts and Schedules) - Experienced and New Graduate RNs Apply! Relocation Incentive Available!
  • Indiana University Health
  • Carmel, IN
  • Job Description Indiana University Health is looking for passionate, experienced nurses and upcoming/recent RN graduates...
  • 3/27/2024 12:00:00 AM

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Healthcare Provider Network Contractor
  • Ewings Associates
  • Carmel, IN
  • Healthcare Provider Network Contractor In preparation for future projects, EWINGS is seeking to build relationships with...
  • 3/26/2024 12:00:00 AM

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Physical Therapist - Lymphedema Specialist
  • Pt Solutions Physical Therapy
  • Carmel, IN
  • This role is responsible for evaluating, planning, and implementing a treatment program for patients referred by physici...
  • 3/25/2024 12:00:00 AM

Carmel occupies the southwestern part of Hamilton County, adjacent to Indianapolis and, with the annexation of Home Place in 2018, is now entirely coextensive with Clay Township. It is bordered to the north by Westfield, to the northeast by Noblesville, to the east by Fishers, to the south by Indianapolis in Marion County, and to the west by Zionsville in Boone County. The center of Carmel is 15 miles (24 km) north of the center of Indianapolis. According to the 2010 census, Carmel has a total area of 48.545 square miles (125.73 km2), of which 47.46 square miles (122.92 km2) (or 97.76%) is lan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,027 to $53,498
Carmel, Indiana area prices
were up 1.3% from a year ago

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