Reimbursement Specialist - Healthcare jobs in Illinois
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
Reimbursement Specialist
- Friend Health
-
Chicago, IL
FULL_TIME
-
Summary
Friend Health is seeking a strong reimbursement specialist with healthcare claims and collections experience.
Applicants must be knowledgeable in the areas of follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim submission and aggressive follow up efforts to secure payer reimbursement in a timely fashion. This applicant would also be responsible for posting payments and payment reconciliation.
The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.
Essential Job Duties & Responsibilities
Daily essential duties and responsibilities, includes insurance verification, ticket review and claim submission, payment posting, claim follow up which includes claim correction and resubmission. The Billing Specialist will also work COVID/HRSA portal entry of patient demographics and COVID ID numbers into Friend Health Practice Management System.
Experience- A minimum of four years of experience in performing outpatient medical billing in a FQHC setting, including encounter rate billing (preferred)
- Experience with Centricity/Athena (Preferred)
- Strong communication skills, written, spoken and active listening.
- Experience using Office 365, including outlook, share point, excel, and word.
- Experience with reading and understanding explanation of benefits and the ability to post payments and follow up denied/rejected claims according to department guidelines and protocol.
- The ability to multitask, handle large volumes of work and maintain accuracy.
- Advanced analytical skills, the ability to follow instructions and problem solving.
- Understanding the urgency of retrieving and responding to voicemail messages timely
- Mathematica skills, 10 key Calculator, Scanner, Printer and Faxing skills.
- Medical Terminology and ICD10/CPT coding principles
- Understanding HIPAA including maintaining the security of patient information
- Preference: 3years’ experience of Medicare, State of Illinois Medicaid, Managed Care billing.
Educational RequirementsBilling Certification or Coding Certification; Associate degree in accounting preferred. - 5 Days Ago
Reimbursement Specialist
- Cancer Care Specialists Of Illinois
-
Decatur, IL
FULL_TIME
- SUMMARY: Under the general supervision of the Director of Business Office Services, the Reimbursement Specialist- Cash Posting Specialist is responsible for managing patient balances, accurately and t...
- 19 Days Ago
Reimbursement Specialist
- CANCER CARE SPECIALISTS OF ILLINOIS
-
Decatur, IL
OTHER
- Job Details Job Location: CCSI Decatur - Decatur, IL Salary Range: Undisclosed Reimbursement Specialist - Cash Posting SUMMARY: Under the general supervision of the Director of Business Office Service...
- 19 Days Ago
Reimbursement Specialist
- Health Care Service Corporation
-
Chicago, IL
FULL_TIME
- At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
- 29 Days Ago
Reimbursement Data Analyst
- OSF HealthCare
-
Peoria, IL
FULL_TIME
- OverviewExpected pay for this position is $28.44 - $33.46/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Reimbursement Data Analyst II is primari...
- 2 Days Ago
Reimbursement Specialist I
- Will County Health Department
-
Joliet, IL
FULL_TIME
- WILL COUNTY HEALTH DEPARTMENT ***MUST APPLY ON WWW.WILLCOUNTYHEALTH.ORG*** POSITION: Reimbursement Specialist I (CHC/068) DIVISION: Community Health Center WAGES: Grade 10 Hourly Wage ($20.65-$30.66) ...
- 14 Days Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
- 4/19/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Bluebird Staffing
-
- REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
- 4/19/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Bedford, MA
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/19/2024 12:00:00 AM
PN Reimbursement Specialist
- Cook Children's Health Care System
-
Arlington, TX
- The underpayment specialist is responsible for payment variance activities related to the incorrect processing of claims...
- 4/19/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/17/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule:Mon-Fri 9am-5pm (2 days remote after training) Salary:$23.00-$25.00 / hour The Reimbursement Specialist is char...
- 4/16/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Southeast Division
-
Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/16/2024 12:00:00 AM
AR Reimbursement Specialist
- Crestwood Behavioral Health
-
Stockton, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/15/2024 12:00:00 AM
About Illinois
Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP),
the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$46,084 to $55,998
Most Popular Cities in Illinois for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019