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)
Description
Metrolina has competitive wages and benefits and a generous paid time off package beginning in your first year of employment: 4 weeks (accrued) paid time off PLUS 7 additional paid holidays! We also have a generous 401k plan with two entry points during the year.
Metrolina Nephrology Associates is the region’s most recognized and experienced nephrology group. The practice has been on the forefront of the treatment and management of kidney disease for more than 40 years. Composed of 41 Nephrologists and 35 Nephrology Advanced Practitioners, our practice serves patients from seven convenient locations. Our extensive network of providers and offices allow our practice to deliver care in an atmosphere that is personal, patient centered, and compassionate.
It is our mission to provide the most comprehensive nephrology services available with a personal commitment to enhance our patients’ quality of life through professional activity and dedication.
By providing service excellence through highly specialized physicians and staff, we commit to serving the individual needs and circumstances of patients.
A non-exempt position responsible for claims follow up and collections on accounts. Responsible for overseeing metrics by payer to include but not limited to work Navicure rejections, claims follow up and denial follow up.
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0 Reimbursement Specialist - Healthcare jobs found in Concord, NC area