Reimbursement Specialist - Healthcare jobs in Corona, 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)

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Management Inc
  • Ontario, CA FULL_TIME
  • Overview

    Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

    Responsibilities

    Involved in preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be able to evaluate the accuracy of the entire report.

     

    Qualifications

    Required qualifications:

  • Bachelor’s degree Accounting or Finance
  • Minimum 15 years in Government reimbursement and cost report preparation experience in a multi-hospital system.
  • Experience in preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit
  • Knowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts, ESRD Add-on, Nurse Allied Health Education, Rural Health Clinic, Sole Community Hospital, Critical Access Hospital and Low Volume Adjustment.  Apply the knowledge when preparing the cost report and its subsequent audit.
  • Experience working with Besler’s EZWP program, HFS, PS&R, 835 files, financial statement and patient account data.
  •  

    Preferred qualifications:

  • Strong analytical skills and resourceful
  • Experience working with hospital GL and patient accounting systems (Lawson, EPIC, Meditech)
  • Strong communication skills
  •  

    We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $94,848.00 to $142,272.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

  • 2 Months Ago

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Senior Government Reimbursement Specialist Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-150769 Category Business Professional Position Type Full Time Shift Days Jo...
  • Just Posted

P
Corporate Manager Government Reimbursement and Reporting
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Manager Government Reimbursement and Reporting Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-149217 Category Manager Position Type Full Time Shift Days Job Type Exe...
  • 1 Month Ago

P
Corporate Manager Government Reimbursement and Reporting
  • Prime Healthcare Management Inc
  • Ontario, CA FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 1 Month Ago

C
Outside Sales Healthcare Specialist
  • Comcentric Inc.
  • Riverside, CA FULL_TIME
  • We are seeking Outside Sales Healthcare Specialist for a Full time Role in Riverside, CA. Location: Riverside, CA Pay Range: 57K – 70K per year commissions Benefits: Medical insurance coverage (Medica...
  • 4 Days Ago

A
Field Service Specialist - Healthcare
  • Acosta Group
  • Corona, CA FULL_TIME
  • **Field Service Specialist - Healthcare** **Description** **Who is Mosaic?** Consistently voted one of the best places to work, Mosaic provides people, technology, and analytics to support the sales a...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

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

W
Prepared Meals and Rotisserie Chicken Associate
  • Wal-Mart
  • Corona, CA
  • Position Summary... Do you have a knack for helping people, following recipes, and organization? Our prepared meal and r...
  • 3/29/2024 12:00:00 AM

N
Child Care Teacher
  • North Country Academy
  • Corona, CA
  • This is more than just a daycare job. It's a journey, where you learn, grow, thrive-and play-every day. Being a teacher ...
  • 3/28/2024 12:00:00 AM

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Management Inc
  • Ontario, CA
  • Overview: Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare oper...
  • 3/26/2024 12:00:00 AM

P
Regional Marketing Assistant
  • Pacific Dental Services
  • Corona, CA
  • Now is the time to join a fast growing organization. You will have opportunities to learn new skills from our team of ex...
  • 3/26/2024 12:00:00 AM

A
Behavior Interventionist | School 1:1 | Paid Training
  • Autism Behavior Consultants
  • Norco, CA
  • Are you interested in a rewarding career helping children with autism and related disorders? We are interviewing and hir...
  • 3/26/2024 12:00:00 AM

A
Automotive Assistant Manager
  • American Tire Depot
  • Corona, CA
  • ? Automotive Assistant Manager: $58,000-$85,000 effective rate (Base Pay + Commission + Overtime + Manager Incentive Bon...
  • 3/25/2024 12:00:00 AM

C
Assistant to the City Manager
  • City of Corona, CA
  • Corona, CA
  • Salary : $109,764.00 - $133,416.00 Annually Location : Corona, CA Job Type: Full-Time Benefited Job Number: 23/24-00157 ...
  • 3/25/2024 12:00:00 AM

O
Consumer Loan Sales Specialist
  • OneMain Financial
  • Corona, CA
  • At OneMain, Consumer Loan Sales Specialists empower customers listening to their needs and providing access to friendly,...
  • 3/25/2024 12:00:00 AM

Corona is a city in Riverside County, California, United States. As of the 2010 census, the city had a population of 152,374, up from 124,966 at the 2000 census. The cities of Norco and Riverside lie to the north and northeast, respectively, Chino Hills and Yorba Linda to the northwest, and the Cleveland National Forest and the Santa Ana Mountains to the southwest, and unincorporated areas of Riverside County line all of its other borders. Corona lies approximately 48 miles (77 km) southeast of Los Angeles and 95 miles (153 km) north-northwest of San Diego....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,674 to $59,145
Corona, California area prices
were up 3.0% 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