Reimbursement Specialist - Healthcare jobs in Hayward, 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)

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Medical Billing Reimbursement Specialist - Multi Specialty
  • Bass Privia Management Company of California, LLC
  • Walnut Creek, CA FULL_TIME
  • Description

     Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you!

    We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously.

     

    Job Opening Opportunities:

    Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center. 

     

    Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus
     

    About Us:

    BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome.

    Requirements

     Recommend knowledge and skills :

    • Superior phone communication skills with providers, carriers, patients, and employees
    • Exceptional written and verbal communication skills
    • Strong attention to detail
    • Ability to work in a fast-paced, high-volume work environment
    • Positive attitude
    • Great attendance and punctuality
    • Knowledge of modifiers, insurance plans, and follow up techniques

    Job Duties but are not limited to:

    • Perform the day-to-day billing and follow-up activities within the revenue operations
    • Work all aging claims from Work Ques or Aging reports
    • Present trends or issues to supervisor, and work together to make improvements
    • Resolve denials or correspondences from patients and insurance carriers
    • Assist in patient calls and questions
    • Follow team and company policies
    • Meet productivity standards
    • Write clear and concise appeal letters

    Minimum qualifications:

    • High School diploma or equivalent
    • Medical Billing Certificate preferred or
    • At least a year of Medical billing experience
    • Proficiency with Microsoft office applications
    • Basic typing skills

    Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience)

     

    Salary: based on experience


    Pay Scale/Ranges:

    $16.50 - $32.00/hour

    *Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.

     

    Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year


    Job Type: Full-time


  • 28 Days Ago

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Security Healthcare Specialist - Flex Officer
  • Allied Universal
  • Berkeley, CA FULL_TIME
  • Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workpl...
  • Just Posted

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Security Healthcare Specialist - Flex Officer
  • Allied Universal
  • Oakland, CA FULL_TIME
  • Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workpl...
  • 8 Days Ago

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Reimbursement Analyst
  • Altais Health Solutions
  • Oakland, CA FULL_TIME
  • About Our CompanyAt Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, pa...
  • 6 Days Ago

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Healthcare Recruiter
  • Maxim Healthcare Services
  • Emeryville, CA FULL_TIME
  • Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
  • 15 Days Ago

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Human Resources Specialist
  • Genesis HealthCare
  • San Leandro, CA FULL_TIME
  • Other Info Position Type: Full TimeJob City: San LeandroRequisition Number: 413954
  • 1 Day Ago

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

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Terminal Manager
  • AIT Worldwide Logistics, Inc.
  • Hayward, CA
  • Introduction: Come move the world with us! Wake up each day to be part of a? global movement.?A movement to?make an impa...
  • 3/28/2024 12:00:00 AM

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Communications (Operations) Supervisor
  • City of Hayward, CA
  • Hayward, CA
  • Salary : $101,587.20 - $123,552.00 Annually Location : Hayward, CA Job Type: Full-Time Job Number: C645-2024-03 Departme...
  • 3/28/2024 12:00:00 AM

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Presenter Teacher Performer
  • California Weekly Explorer
  • Hayward, CA
  • MAKE LEARNING HISTORY FUN! JOIN THE COMPANY WITH THE MOST INTERACTIVE AND UNIQUE APPROACH TO ELEMENTARY EDUCATION THERE ...
  • 3/28/2024 12:00:00 AM

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Charge Description Master (CDM) Analyst - Full Time, Benefited, Days, 8hours, 1.0fte
  • John George Psychiatric Pavilion
  • San Leandro, CA
  • Job Summary: The Charge Description Master (CDM) Analyst is responsible for designing, monitoring, maintaining and updat...
  • 3/28/2024 12:00:00 AM

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Clinical Reimbursement Specialist - RN
  • Vi Living
  • Palo Alto, CA
  • Overview: Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from th...
  • 3/27/2024 12:00:00 AM

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Construction Inspector
  • City of Hayward, CA
  • Hayward, CA
  • Salary : $98,384.00 - $119,537.60 Annually Location : Hayward, CA Job Type: Full-Time Job Number: T245-2022-12 Departmen...
  • 3/24/2024 12:00:00 AM

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Member Support Associate (Work From Home)>
  • Modern Health
  • Union City, CA
  • [Customer Service / Remote] - Anywhere in U.S. / Competitive Pay / Medical, Dental, Vision, Disability & Life Insurance ...
  • 3/24/2024 12:00:00 AM

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Clinical Reimbursement Specialist - LVN
  • Vi Living
  • Palo Alto, CA
  • Overview: Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from th...
  • 3/19/2024 12:00:00 AM

Hayward (/ˈheɪwərd/; formerly Haywards, Haywards Station, and Haywood) is a city located in Alameda County, California in the East Bay subregion of the San Francisco Bay Area. With a 2014 population of 149,392, Hayward is the sixth largest city in the Bay Area and the third largest in Alameda County. Hayward was ranked as the 37th most populous municipality in California. It is included in the San Francisco–Oakland–Fremont Metropolitan Statistical Area by the US Census. It is located primarily between Castro Valley and Union City, and lies at the eastern terminus of the San Mateo–Hayward Bridg...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$55,182 to $67,051
Hayward, California area prices
were up 4.5% from a year ago

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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.
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