Reimbursement Specialist - Healthcare jobs in Conway, AR

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)

A
Specialist Healthcare Evaluations
  • AFMC
  • Little Rock, AR FULL_TIME
  • Job Title
    Specialist Healthcare Evaluations
    Job Type
    Full-Time
    Category
    Administrative / Clerical
    Location
    Hybrid/Rotating LR Based - Little Rock, AR 72201 US (Primary)
    Education
    High School
    Travel
    0 - 10%
    Job Description

    SCOPE OF POSITION: 
    This position is responsible for the development, facilitation, coordination and administrative support of activities and deliverables, as assigned. Responsible for the leading the development, facilitation, coordination, implementation and evaluation of events and other focused meetings, conferences, and appointments for assigned area(s). Support the organization’s mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence Accountability, Respect and Teamwork.


    ESSENTIAL JOB FUNCTIONS:

    1. Coordinate and assist in the development of schedules for projects taking into consideration deliverables, client needs, department workload, resource/capacity constraints and vendor capabilities.  
    2. Coordinate, prepare and organize activities such as workgroup meetings, workshops, business meetings, and/or seminars as directed.
    3. Maintain and coordinate multiple electronic calendars via Outlook.
    4. Maintain a comprehensive working knowledge of department / contract deliverables and a master list of all projects, activities and reports with timelines to ensure deadlines are met.
    5. Create and distribute meeting minutes as directed.
    6. Present progress and updates of all project activities to team and all appropriate project staff at designated time intervals. 
    7. Conduct staff and client interviews for facility evaluations.
    8. Coordinate and lead focus groups as directed.
    9. Set up and maintain AFMC booth at public events.
    10. Create projects in REDCap as directed.
    11. Enter, validate and merge survey data as directed.
    12. Develop and maintain multiple project schedules/timelines in WorkZone (project management software).
    13. Perform data entry for multiple projects and multiple clients into both internal and/or external program databases.
    14. As required, compose, edit and assist in creating communications and/or materials for various projects.
    15. Assist in the review, verification, testing and editing of work produced by other staff members as directed. 
    16. Assist in training new team members.
    17. Communicate effectively with all internal and external customers.  Develop partnerships with entities recognized as being integral in meeting project goals. 
    18. Communicate needs and requests to other team members as appropriate.
    19. Compose, proofread and distribute outgoing correspondence, memos, forms, reports, etc.
    20. Conduct research, as directed, and prepare reports, presentations and documents for managerial staff and team members.
    21. Develop forms and reports used to document, track and report continuing education activity information for submission to accrediting organizations and/or internal use.
    22. Facilitate, coordinate and support workgroup meetings, workshops, business meetings, and/or seminars as directed. 
    23. Research and initiate the purchase / request of departmental supplies, obtain appropriate approval, and maintain documentation of all transactions. Reconcile invoices through the Accounting/Finance department.
    24. Perform specialized functions of the assigned area as required or directed.
    25. Receive and distribute all incoming correspondence including fax, memos, reports and e-mail.
    26. Serve as back up for other team members and/or support staff.

    27.    Assist with project management:
                  a.    Use developed project management templates.
                  b.    Coordinate and manage task information and evidence gathering, project participation, measurement, and evaluation.
                  c.    Use project-tracking software for reporting purposes. 
    28.    Provide excellence in Customer Service:
                  a.    Facilitate clear communication across teams.
                  b.    Communicate effectively with all internal and external customers.  

    29. Seek and facilitate problem resolution and general assistance or referral as needed.

    30. Consult with analytic team members to gather information about service needs and features to design new procedures or improve existing processes in order to improve performance.

    31. Adhere to AFMC format, content, and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality.

    32. Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.

    33. Additional duties as assigned


    KNOWLEDGE, SKILLS AND ABILITIES:

    • Advanced skill level with MS Office (Word, Excel, Outlook, and PowerPoint).
    • Type 60 wpm.
    • Good command of the English language and knowledge of punctuation, grammar, and spelling.
    • Ability to maintain confidentiality.
    • Strong oral and written communication skills.
    • Creativity.
    • Customer service.
    • Ability to meet deadlines.
    • Attention to detail.
    • Flexibility.
    • Medical terminology.
    • Ability to work collaboratively and independently to achieve stated goals.
    • Initiative.
    • Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
    • Ability to multitask.
    • Ability to prioritize.
    • Strong organizational skills.
    • Problem solving skills.
    • Professionalism.
    • Project management skills.
    • Ability to read, interpret and apply laws, rules and regulations.
    • Strong public speaking skills.
    • Knowledge of quality improvement processes and techniques.
    • Ability to travel including overnight travel.
    • Time management skills.
    • Ability to work overtime as needed.
    • Regular and punctual attendance.
    • Ability to accurately prepare and submit expense authorizations, expense reports and purchase requisitions.
    • Ability to understand and utilize project-tracking software for reporting purposes.
       
    Job Requirements

    Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):
    Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to lift up to 50 pounds. Must be capable of performing the essential functions of this job, with or without reasonable accommodations.

    EDUCATION:
    Required: High School Diploma
    Desirable: Associate’s degree

    EXPERIENCE:
    Required: Five (5) years’ experience in administrative support at a professional level. 
    Desirable: Experience in project coordination/management experience, REDCaps experience.

    INTERNET REQUIREMENTS:
    Reliable, high-speed wireless internet service (Wi-Fi)

    Equal Opportunity Employer/Veterans/Disabled EEO IS THE LAW


    AFMC, Inc. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability or any other status protected by federal, state and/or local law. AFMC invites any employee and/or applicant to review the Company’s Affirmative Action Plan. This plan is available for inspection upon request, which may be made in person or by telephone (501) 212-8796, by fax (501) 212-8797 or by U.S. mail Attn: Human Resources, 1020 West 4th Street, Suite 400, Little Rock, AR 72201.


  • 19 Days Ago

S
Director of Nursing
  • Senior Living Recruiting Specialist
  • Little Rock, AR FULL_TIME
  • Your Perfect Client Match & Great BenefitsAre you an experienced Director of Wellness that is looking for stability, an opportunity for career growth and great benefits? If you answered yes, this job ...
  • 1 Month Ago

L
Dietary Aide for Glenwood Healthcare
  • Live Well Healthcare Solutions
  • Glenwood, AR FULL_TIME
  • Live Well Healthcare Solutions takes personal pride in serving our communities with our Dietary, Housekeeping, and Laundry services, and the standards of excellence we maintain are reflective of that....
  • 25 Days Ago

C
Healthcare Marketing
  • Conway Behavioral Health
  • Conway, AR FULL_TIME
  • Overview Conway Behavioral Health is seeking for a Business Development Representative who wants to become part of the dynamic, compassionate team at Conway. As a business development representative y...
  • 7 Days Ago

C
Healthcare Marketing
  • Conway Behavioral Health
  • Conway, AR FULL_TIME
  • Overview Conway Behavioral Health is seeking for a Business Development Representative who wants to become part of the dynamic, compassionate team at Conway. As a business development representative y...
  • 7 Days Ago

T
Customer Care Representative Healthcare
  • Trace Medical, Inc.
  • Greenbrier, AR FULL_TIME
  • Benefits: 401(k) 401(k) matching Dental insurance Health insurance Opportunity for advancement Paid time off Position Overview As a Customer Care Representative at Trace Medical, you will serve as a v...
  • 18 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Reimbursement Specialist - Healthcare jobs found in Conway, AR area

U
Premium Billing Specialist - Partially Remote
  • USAble Life
  • Little Rock, AR
  • When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready...
  • 4/25/2024 12:00:00 AM

U
CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Conway, AR
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
  • 4/24/2024 12:00:00 AM

U
CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Conway, AR
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 4/24/2024 12:00:00 AM

H
Travel Nurse RN - Med Surg / Telemetry - $2,085 per week
  • Hiring Now!
  • Conway, AR
  • Travel Nurses, Inc. is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Conway, Arkansas. Job ...
  • 4/24/2024 12:00:00 AM

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • North Little Rock, AR
  • [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

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Benton, AR
  • [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

U
CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
  • U.S. Xpress
  • Conway, AR
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 4/21/2024 12:00:00 AM

S
Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Jacksonville, AR
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 4/5/2024 12:00:00 AM

Conway is a city in the U.S. state of Arkansas and the county seat of Faulkner County, located in the state's most populous Metropolitan Statistical Area, Central Arkansas. Conway is unusual in that the majority of its residents do not commute out of the city to work. The city also serves as a regional shopping, educational, work, healthcare, sports, and cultural hub for Faulkner County and surrounding areas. Conway's growth can be attributed to its jobs in technology and higher education with its largest employers being Acxiom, the University of Central Arkansas, Hewlett Packard, Hendrix Coll...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,993 to $49,812
Conway, Arkansas area prices
were up 1.2% 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