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)
Responsible for billing out clean claims and to follow up on the claims until balance is at zero. Will interact with outside companies and internal departments to resolve any claims issues or denials. Additional responsibilities include helping assist with technical issues with current systems, training other staff, troubleshooting systems and helping support the manager(s) in the Revenue Cycle.
Essential Job Functions:
Minimum Qualifications:
Joint Position, Full time
SMH is EOE
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0 Reimbursement Specialist - Healthcare jobs found in Coeur D Alene, ID area