Reimbursement Specialist - Healthcare jobs in Hickory, 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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Reimbursement Contract Specialist- Belmont, NC
  • Compleat Kidz - Belmont Clinic
  • Belmont, NC FULL_TIME
  • Onsite Location(s)

    Compleat Kidz - Belmont Clinic
    54 Myrtle St , Belmont, NC 28012

    Onsite Options

    • Domestic

    Description

    Who We Are
    We are one of the fastest growing networks of clinics in North Carolina, and we need someone who can check the following boxes:
    ___ You CAN find the needle in the haystack
    ___ You often read the fine print first


    About the Job
    The Reimbursement Contract Specialist (RCS) supports with payor contract review and provides guidance to stakeholders on payor contract information. This requires management of internal resources pertaining to contract reimbursement information and a high level of written and oral communication. The RCS reviews payor contracts and amendments. They also provide consultation, education and training on contract requirements to Admissions and RCM teams. They also provide timely and accurate information regarding payor reimbursement methodologies, rates and policies. Additionally, the RCS manages payor contract and amendment reimbursement related reference materials and other supporting documentation on company intranet sites.

    Requirements
    Must have experience and thorough understanding of Payor Contracts
    Reimbursement experience (RCM related)
    Advanced knowledge of health insurance plans: Managed Care Organizations, PPO, POS, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA).
    Experience in creation of training material and procedures (SOPs)
    Experience loading pricing or fee schedules required.
    Knowledge of HIPAA, federal, state, and local regulations related to healthcare providers.
    Proficiency in Microsoft Excel
    Pay
    $17-$23 Based on Experience
    Benefits
    Medical • Dental • Vision • 401k w/ company match • Paid vacation/holidays

    Disclaimer
    This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
    Kare Partners is an Equal Employment Opportunity Employer that values and encourages diversity.
  • 4 Days Ago

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Reimbursement Contract Specialist- Belmont, NC
  • Compleat Rehab and Sports Therapy/Kare Partners
  • Belmont, NC FULL_TIME
  • Onsite Location(s)Compleat Kidz - Belmont Clinic54 Myrtle St , Belmont, NC 28012Onsite OptionsDomesticDescriptionWho We AreWe are one of the fastest growing networks of clinics in North Carolina, and ...
  • 4 Days Ago

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Medicaid specialist
  • Valley Nursing Healthcare LLC
  • Taylorsville, NC FULL_TIME
  • Valley Nursing Healthcare LLC - Valley Nursing and Rehabilitation Center is currently seeking a Full-time Business Office Assistant / Medicaid Specialist. The Business Office Assistant / Medicaid Spec...
  • 1 Day Ago

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ACTT Co-Occurring Specialist
  • Catawba Valley Healthcare
  • Hickory, NC FULL_TIME
  • Job description Catawba Valley Healthcare seeks a full time qualified professional/case managers with at least two year’s experience to work as part of a ACT team based out of Hickory NC. This positio...
  • 19 Days Ago

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Office Support Specialist - Payeeship
  • Catawba Valley Healthcare
  • Hickory, NC FULL_TIME
  • Position: Office Support Specialist - Payeeship This position is responsible for managing payee accounts for consumers with severe and persistent mental illness. Duties include managing all client che...
  • 1 Month Ago

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Certified Peer Support Specialist - Health Equity
  • Catawba Valley Healthcare
  • Hickory, NC FULL_TIME
  • Description: This position will support the Health Equity Coordinators with their community-based work. The Health Equity Coordinators (HEC) are responsible for managing the care of the uninsured popu...
  • 22 Days Ago

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

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Entrepreneurial Agency Owner
  • AAA-The Auto Club Group
  • Hickory, NC
  • AAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join ou...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,870 per week
  • TRS Healthcare
  • Hickory, NC
  • Travel Nurses, Inc. is seeking a travel nurse RN Med Surg for a travel nursing job in Hickory, North Carolina. Job Descr...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,994 per week
  • TRS Healthcare
  • Hickory, NC
  • Care Team Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Hickory, North Carolina. Job Descr...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Intermediate Care - $1,870 per week
  • TRS Healthcare
  • Hickory, NC
  • Travel Nurses, Inc. is seeking a travel nurse RN Intermediate Care for a travel nursing job in Hickory, North Carolina. ...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Hickory, NC
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 3/27/2024 12:00:00 AM

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CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
  • U.S. Xpress
  • Hickory, NC
  • 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...
  • 3/27/2024 12:00:00 AM

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Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
  • U.S. Xpress
  • Hickory, NC
  • U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
  • 3/27/2024 12:00:00 AM

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Local Contract Nurse RN - ICU - Intensive Care Unit - $49-51 per hour
  • TRS Healthcare
  • Hickory, NC
  • LanceSoft is seeking a local contract nurse RN ICU - Intensive Care Unit for a local contract nursing job in Hickory, No...
  • 3/26/2024 12:00:00 AM

Hickory is a city in Catawba county in the U.S. state of North Carolina. The city's population at the 2010 census was 40,010 (primarily in Catawba County), with an estimated population in 2015 of 40,374. Hickory is the principal city in the Hickory–Lenoir–Morganton MSA, in which the population at the 2010 census was 365,497 and is included as part of the Charlotte–Concord Combined Statistical Area. Hickory is located in western Catawba County at 35°44′16″N 81°19′42″W / 35.73778°N 81.32833°W / 35.73778; -81.32833 (35.737682, −81.328372), and extends westward into Burke County and Caldwell Co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,957 to $53,412
Hickory, North Carolina area prices
were up 1.5% from a year ago

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