Reimbursement Specialist - Healthcare jobs in Hastings, NE
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Registration & Reimbursement Specialist - 40 hrs/wk, Monday - Friday
- Madonna Rehabilitation Hospital System
-
Lincoln, NE
FULL_TIME
-
**Job Title: Inpatient Registrar & Reimbursement Specialist
Job Location: Lincoln
Immediate Supervisor: Inpatient Access Manager
Status: Non-exempt**
**JOB OVERVIEW**
Responsible for the efficient and orderly registration of inpatient admissions for Madonna business lines. Obtains and completes patient demographic information, consents and authorizations and ensures patients are aware of financial responsibility. Other responsibilities include maintaining referral inquiries, typing, word processing, faxing, photocopying for the department. Ability to prioritize, organize and effectively handle multiple tasks and interruptions in a positive manner. Proficient in the use of the Registration Application of AFFINITY, add information to Sunrise, and scan medical records to appropriate folders. Responsible for verifying, recording, and revising financial payer information for all inpatients. Consults, advises, and assists the Inpatient Access Manager and Director Access & Reimbursement in providing leadership and direction in planning and coordinating customer access.
**ESSENTIAL FUNCTIONS**
(INFORMATION)
1. Computes and records the Medicare benefit days used and available for all Medicare Part A recipients for accurate Medicare billing.
2. Verifies Medicaid and Medicare eligibility for all inpatient programs to determine primary payor source and third-party liability coverage, then communicates with Nurse liaison via email.
3. Identify admissions that are related to a motor vehicle accident and/or fall information to complete the Accident Questionnaire and record in EMR.
4. Responsible for acquiring all Accident Report Forms. Understands and operationalizes admission policy and procedures.
5. Obtains and enters required demographic information into the computer system prior to the patients admission. Verifies accuracy and generates an admission record in a timely fashion.
6. Investigates and communicates third party liability coverage to appropriate staff.
7. Monitors daily admissions, transfers, and discharges, consulting Drs., room account changes and appropriately records transactions in the computer system.
8. Enters daily activity on the Intranet and calls appropriate staff with changes in the activity and confirm in Sunrise.
9. Coordinates the receipt of the ID Screen for patients in the Subacute/SNF program. (Lincoln Only)
10. Saves clinical information sent in by Nurse Liaisons in the I Drive/Clinical Document folder.
11. Updates patient demographic and financial information to ensure complete and accurate files.
12. Enter all required information upon notification of an in house transfer.
13. Contact by phone family/next of kin for verbal Consent to Treat if unable to obtain by patient.
14. Mail Certified Mail out to family to validate verbal consent.
15. Periodically update patient demographic and scan into Sunrise.
16. Registration process for Outpatient Laboratory.
17. Registration process for Outpatient Radiology. (Lincoln Only)
(PEOPLE)
1. Collaborates and communicates with others effectively and professionally to insure successful and efficient outcomes both internally and externally.
2. Interviews and registers incoming patients and/or family of the patient in person or via telephone prior to admission.
3. Escorts patients and families to their assigned rooms. Patients arriving by ambulance are escorted to their rooms by ambulance personnel.
4. Maintains patient confidentiality. Follows facility protocols in communicating and releasing patient information.
5. Answers telephone quickly and courteously as needed.
6. Receives, greets and directs patients and visitors in a positive and conscientious manner.
7. Follows instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department as well as within the facility.
8. Communicates with various outside sources to obtain and/or verify necessary demographic, financial and liability information.
**QUALIFICATIONS**
High school equivalency and one year relevant work experience preferred. Experience is to consist of any of the following: medical registration, and insurance processing/collection. Demonstrated ability within a related position at Madonna may be considered in lieu of one year relevant experience. Must have working knowledge of personal computers and Microsoft office programs such as (Word, Access, Outlook, Excel, etc.), and office machines. Must have excellent communication and organizational skills with the ability to problem solve. Must be able to work in demanding situations without adverse reaction and interact in a positive manner with staff and public, either in person or via telephone.
Licenses
You must have the following licenses to apply:
- 24 Days Ago
Family Advocate (Mileage Reimbursement)
- Apex Family Care
-
Columbus, NE
PART_TIME
- Maintain physical and emotional safety of children in your care at all times. Supervise foster children with their biological parent(s), transport children to and from visits and provide documentation...
- 26 Days Ago
Business Office Specialist – Admissions
- Brodstone Healthcare
-
Superior, NE
FULL_TIME
- JOB SUMMARY: Greets, instructs, directs, and schedules patients and visitors. Interviews patient or patient representative to obtain information required to complete appointment and registration proce...
- 3 Days Ago
Incident Review Specialist - health and human Services
- Liberty Healthcare Corporation
-
Lincoln, NE
FULL_TIME
- Liberty Healthcare is now hiring for a full-time 'Incident Review Specialist’ position. As an Incident Review Specialist, you will be an active contributor with a large-scale program that seeks to pro...
- 21 Days Ago
Incident Review Specialist - health and human Services
- Liberty Healthcare Corporation Career Center
-
Lincoln, NE
FULL_TIME
- Liberty Healthcare is now hiring for a full-time 'Incident Review Specialist’ position. As an Incident Review Specialist, you will be an active contributor with a large-scale program that seeks to pro...
- 21 Days Ago
Bilingual Healthcare Recruiter
- Right at Home
-
Kearney, NE
FULL_TIME
- Join Our Team at Right at Home - Where Your Skills Transform Lives! Position: Bilingual Healthcare RecruiterLocation: Right At Home Office, Kearney Nebraska Are You Our Next Star Recruiter? At Right a...
- 18 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Hastings, NE area
Travel Nurse RN - Med Surg - $2,190 per week
- Hiring Now!
-
Kearney, NE
- Travel Nurses, Inc. is seeking a travel nurse RN Med Surg for a travel nursing job in Kearney, Nebraska. Job Description...
- 4/25/2024 12:00:00 AM
TRAVEL NURSE RN - LABOR/DELIVERY IN GRAND ISLAND, NE
- Care Team Solutions
-
Grand Island, NE
- Details: Must Have 2+ Years of recent Labor and Delivery experience. Specialty: Labor and Delivery Discipline: Registere...
- 4/24/2024 12:00:00 AM
TRAVEL NURSE RN - MED/SURG - $2,240 PER WEEK IN GRAND ISLAND, NE
- Medical Solutions
-
Grand Island, NE
- $2018.37-$2240.16 wk (includes wage of ~$23.79-$29.95/hr and per diems if eligible) click for benefits and other job det...
- 4/24/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Hastings, NE
- [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
IT Software Engineer - MCADS
- Nelnet
-
Hastings, NE
- Nelnet is a diversified and innovative company committed to enriching lives through the power of service as a student lo...
- 4/23/2024 12:00:00 AM
Operations Associate
- LVMH
-
Aurora, NE
- Poste Operations Associate Profil Job ID: 246684 Store Name/Number: CO-Southlands (1342) Address: 6240 South Main Street...
- 4/21/2024 12:00:00 AM
Certified Medication Aide
- Mosaic
-
Grand Island, NE
- Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings, Overnights If making a positive impact in the lives o...
- 4/19/2024 12:00:00 AM
Merchandising & Product Demonstration Specialist
- SAS Retail Services
-
Wood River, NE
- Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
- 3/18/2024 12:00:00 AM
About Hastings, Nebraska
Hastings is a city and county seat of Adams County, Nebraska, United States. The population was 24,907 at the 2010 census. It is known as the town where Kool-Aid was invented by Edwin Perkins in 1927, and celebrates that event with the Kool-Aid Days festival every August. Hastings is also known for Fisher Fountain, and during World War II operated the largest Naval Ammunition Depot in the United States. It was chosen because of it centralized location from North to South and East and West in the country. This made it quicker to send ammunition by train to wherever needed.
According to the U...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,444 to $50,360
Hastings, Nebraska area prices
were up 0.8% from a year ago
were up 0.8% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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