Reimbursement Specialist - Healthcare jobs in Carson, CA

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 Enrollment Specialist
  • Morgan Stephens
  • Long Beach, CA FULL_TIME
  • Job Title: Healthcare Enrollment Specialist 

    Location: Remote 

    Company Overview: We are ia leading healthcare services provider committed to ensuring accessible and comprehensive health coverage for all. We are currently seeking a dedicated and detail-oriented Healthcare Enrollment Specialist to join our team. This is a temporary-to-permanent position with the flexibility of working remotely.

    Responsibilities:

    1. Enrollment Assistance:

      • Guide clients through the healthcare enrollment process.
      • Provide detailed explanations of available benefit plans and options.
      • Assist clients in selecting appropriate healthcare coverage based on their needs.
    2. Client Communication:

      • Maintain clear and effective communication with clients via phone, email, and virtual platforms.
      • Address client inquiries, concerns, and provide timely and accurate information.
    3. Documentation and Record Keeping:

      • Ensure accurate and complete documentation of client information.
      • Record client interactions and update relevant databases.
    4. Bilingual Support (Preferred):

      • Utilize bilingual skills in Spanish to assist Spanish-speaking clients effectively.
      • Translate and explain healthcare-related information to clients.
    5. Compliance:

      • Stay informed about healthcare regulations and enrollment guidelines.
      • Ensure compliance with industry standards and organizational policies.
    6. Problem Resolution:

      • Identify and resolve issues related to the enrollment process promptly.
      • Collaborate with internal teams to address complex client concerns.

    Qualifications:

    • Previous experience in healthcare enrollment or a related field is required.
    • Strong customer service and interpersonal skills.
    • Bilingual proficiency in English and Spanish is a plus.
    • Excellent communication and active listening skills.
    • Ability to work independently and remotely.
    • Detail-oriented with strong organizational skills.

    Benefits:

    • Competitive compensation.
    • Opportunities for career advancement.
    • Comprehensive training and ongoing professional development.
    • Temporary-to-permanent position for the right candidate.
  • 8 Days Ago

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Claims Appeals Specialist - Healthcare (Remote)
  • Morgan Stephens
  • Long Beach, CA FULL_TIME
  • Job Title: Specialist for Claims Appeals Resolution Salary: $65,000-$90,000 Medical Benefits offered Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM Overview: Join our team a...
  • 8 Days Ago

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Dermatologist
  • Pacific Dermatology Specialist
  • Torrance, CA FULL_TIME
  • Pacific Dermatology Specialists in the South Bay Area is seeking a Dermatologist to join our long established & highly regarded practice with a large & loyal patient base full-time. Opportunity Highli...
  • Just Posted

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Provider Contracts Specialist
  • Molina Healthcare
  • Long Beach, CA FULL_TIME
  • ***Remote and must live in Utah*** JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical...
  • 1 Month Ago

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Performance Improvement Specialist
  • VITAS Healthcare Careers
  • Torrance, CA FULL_TIME
  • QUALIFICATIONS Qualified candidates must be credentialed and licensed (as required) health care professional preferred. Certified Professional in Healthcare Quality preferred. Knowledge of hospice ope...
  • Just Posted

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Torrance, CA FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 2 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Carson, CA area

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Virtual Field Reimbursement Specialist - Los Angeles, CA
  • Syneos Health
  • Los Angeles, CA
  • Virtual Field Reimbursement Specialist - Los Angeles, CA Updated: YesterdayLocation: Los Angeles, CA, United StatesJob I...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Carson, CA
  • [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
  • Harbor City, CA
  • [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
  • Lancaster, CA
  • [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
  • Rosemead, CA
  • [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
  • North Hills, CA
  • [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
  • Reseda, CA
  • [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
  • La Crescenta, CA
  • [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

Carson is a city in Los Angeles County, California, located 13 miles (21 km) south of downtown Los Angeles and approximately 14 miles away from the Los Angeles International Airport. Incorporated on February 20, 1968, Carson is the newest municipality in the South Bay region of Metropolitan Los Angeles. As of the 2010 census, it had a population of 91,714. According to the United States Census Bureau, Carson has an area of 19.0 square miles (49 km2). 18.7 square miles (48 km2) of it is land and 0.2 square miles (0.52 km2) of it (1.29%) is water. Carson is bordered by West Rancho Dominguez on ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$49,823 to $60,541
Carson, California area prices
were up 3.2% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
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