Reimbursement Specialist - Healthcare jobs in Greensboro, NC

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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Admissions Specialist - UNC Rockingham Healthcare
  • UNC Health
  • Eden, NC FULL_TIME
  • Description

    Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

    Summary:
    Responsible for coordination of the entire patient admission experience.


    Responsibilities:
    1. Coordinates the entire admission process from inquiry through admittance. Ensures a quality transition for residents and families.
    2. Ensures the proper case mix within budgetary guidelines. Works with managed care/insurance companies to establish payment rates prior to admission.
    3. Maintains consistent contact with referring case managers and social workers for follow up information and problem solving, as needed.
    4. Counsels patients and families regarding financial, social and placement concerns.
    5. Supplies information and markets services of RCCC to the community and referral sources.
    6. Facilitates the quality of resident's life through management of environmental factors and roommate preferences.
    7. Assesses and screens all referrals for admission based on RCCC admission criteria. Coordinates and communicates admissions with clinical services at RCCC.


    Other Information

    Other information:
    Education Requirements:
    • Diploma, Associate's degree (A.A.) or a Bachelor's degree from an accredited School of Nursing or in Social Work preferred.
    Licensure/Certification Requirements:
    Professional Experience Requirements:
    • Two to four years Case Management and/or Long Term Care experience preferred. Two years Admissions Coordinator or Social Worker/Discharge Planner experience in a skilled nursing facility preferred. Working understanding of managed care and Medicare/Medicaid payment systems and their impact on skilled nursing facilities. Excellent Customer Service Skills is required.
    Knowledge/Skills/and Abilities Requirements:
    • Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization Mathematical Skills: Ability to calculate figures and amounts such as proportions, percentages, area, circumference, and volume. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations


    Job Details

    Legal Employer: NCHEALTH

    Entity: UNC Rockingham Health Care


    Organization Unit: MNC Social Services

    Work Type: Full Time


    Standard Hours Per Week: 40.00

    Salary Range: $22.45 - $28.06 per hour (Minimum to Midpoint)

    Pay offers are determined by experience and internal equity


    Work Assignment Type: Onsite

    Work Schedule: Day Job


    Location of Job: US:NC:Eden

    Exempt From Overtime: Exempt: No


    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

    Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

  • 26 Days Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Cary, NC
  • Efland, NC FULL_TIME
  • TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Cary, NCAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen...
  • 3 Days Ago

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Regional Reimbursement
  • SanStone Health & Rehabilitation
  • Greensboro, NC FULL_TIME
  • Regional MDS provides support, education, and training to the MDS Coordinators in the facilities on the Resident Assessment Instrument (RAI) process in accordance with the laws, regulation, and compan...
  • 14 Days Ago

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Housing Specialist
  • A Seaside Healthcare Company
  • Greensboro, NC FULL_TIME
  • Equal Employment Opportunity Strategic Interventions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and pr...
  • 1 Month Ago

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Cognitive Performance Specialist
  • Spectrum Healthcare Resources
  • Liberty, NC FULL_TIME
  • Cognitive Performance Specialist ID 2024-21870 Category Behavioral Health & Social Work - Cognitive Behavior Therapist Facility DOD / MTF - North Carolina - Fort Liberty Job Description Spectrum Healt...
  • 1 Month Ago

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Peer Support Specialist, Certified
  • A Seaside Healthcare Company
  • Burlington, NC FULL_TIME
  • Equal Employment Opportunity Strategic Interventions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and pr...
  • 1 Month Ago

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0 Reimbursement Specialist - Healthcare jobs found in Greensboro, NC area

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Manufacturing Maintenance Technician
  • Integrity Consulting LLC
  • Greensboro, NC
  • Schedule will be 7 PM – 7 AM on a rotating 36 and 48 hours per week Mandatory shutdown work schedule. (About 2 weeks str...
  • 4/26/2024 12:00:00 AM

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Glazier (Entry Level)
  • BINSWANGER ENTERPRISES LLC
  • Greensboro, NC
  • Job Details Job Location Greensboro 119 - Greensboro, NC Position Type Full Time Travel Percentage None Description Want...
  • 4/26/2024 12:00:00 AM

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Travel Nurse RN - CCU - Coronary Care - $2,255 per week
  • TRS Healthcare
  • Greensboro, NC
  • Travel Nurses, Inc. is seeking a travel nurse RN CCU - Coronary Care for a travel nursing job in Greensboro, North Carol...
  • 4/26/2024 12:00:00 AM

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Human Resource Specialist II
  • Toyota Tsusho
  • Greensboro, NC
  • We firmly believe that our employees drive the success of the company! With success in mind as the ultimate goal, we str...
  • 4/25/2024 12:00:00 AM

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Travel Ultrasound Technologist - $2,155 per week
  • Hiring Now!
  • Greensboro, NC
  • Travel Nurses, Inc. is seeking a travel Ultrasound Technologist for a travel job in Greensboro, North Carolina. Job Desc...
  • 4/25/2024 12:00:00 AM

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Customer Success Administration Specialist (REMOTE)
  • Integrity Support, Inc.
  • Greensboro, NC
  • Job Description Job Description At Integrity Support, Inc. (CheckpointEHR.com) we are passionate about “serving those wh...
  • 4/25/2024 12:00:00 AM

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Travel Nurse RN - Med Surg / Telemetry - $2,110 per week
  • TRS Healthcare
  • Greensboro, NC
  • Travel Nurses, Inc. is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Greensboro, North Caro...
  • 4/24/2024 12:00:00 AM

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Travel CT Technologist - $2,085 per week
  • Stability Healthcare
  • Greensboro, NC
  • Travel Nurses, Inc. is seeking a travel CT Technologist for a travel job in Greensboro, North Carolina. Job Description ...
  • 4/24/2024 12:00:00 AM

Greensboro (/ˈɡriːnzbʌroʊ/ (listen); formerly Greensborough) is a city in the U.S. state of North Carolina. It is the 3rd-most populous city in North Carolina, the 68th-most populous city in the United States, and the county seat and largest city in Guilford County and the surrounding Piedmont Triad metropolitan region. As of the 2010 census, the city population was 269,666, and in 2015 the estimated population was 285,342. Three major interstate highways (Interstate 40, Interstate 85, and Interstate 73) in the Piedmont region of central North Carolina were built to intersect at this city. In ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,345 to $51,454
Greensboro, North Carolina area prices
were up 1.5% from a year ago

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