Reimbursement Specialist - Healthcare jobs in Jackson, TN
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
INFUSION REIMBURSEMENT COORD
- St. Bernards Healthcare
-
JONESBORO, AR
FULL_TIME
- JOB REQUIREMENTS Education Bachelor#s Degree, Business or Healthcare Administration required. Experience 1-3 years of healthcare experience with knowledge of the reimbursement/denials process. Knowledge of reimbursement systems, Federal, State and payor-specific regulations pertaining to documentation and billing. Knowledge of billing process, possesses process management, leadership and interpersonal skills. Must be proficient in spreadsheet, presentations, word processing and database applications. Requires excellent written and verbal communication skills. Must be able to act independently, have meticulous follow-up skills, organizational skills, prioritization skills and experience working in a team environment. Ability to interact well with physicians, physician offices, Business Office personnel, etc. to obtain appropriate information related to the reimbursement/denial process. Physical Normal hospital business office environment. Extremely close eye work with use of computer up to 8 hours a day. Hearing within normal range. Continuous sitting approximately 90% of the work day. Operates calculator, computer, copier and general office equipment. Occasional walking, bending and lifting of 5-10 pounds. This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. JOB SUMMARY Responsible for monitoring, tracking, aggregating and trending reimbursement and denials information according to discrete outpatient denial codes. Will review for medical necessity. Analyze information related to infusion denials and follow up with appropriate action through the reimbursement and denial process. Works with infusion center to prevent denials. Assists UM Coordinator with denials and appeals. Close out each tracked denial (overturned or recouped). Overall works to increase revenue capture related to infusion center. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center. Must manage competing priorities, multi-task with results oriented outcomes and work in a fast-paced environment. This position is required to utilize independent judgement. This position requires timely response to inquiries from payer. This position has high contact with physicians, clinical areas and business office.
- 26 Days Ago
Learning & Development Specialist (HealthCare)
- Planned Parenthood of Tennessee & N. Mississippi
-
Memphis, TN
FULL_TIME
- Learning & Development Specialist STATUS: Non-Exempt/Hourly ABOUT PPTNM: Planned Parenthood of Tennessee and North Mississippi is one of Tennessee's oldest and largest private, non-profit health care ...
- 19 Days Ago
Healthcare System Specialist – Memphis, TN
- Astellas Pharma
-
Memphis, TN
OTHER
- Healthcare System Specialist – Memphis, TN The Healthcare Systems Specialist has multiple responsibilities around the promotion of Astellas products and resources to a variety of stakeholders within H...
- 11 Days Ago
Analyst-Reimbursement/Bachelors - HS Reimbursement Corporate
- Baptist
-
Memphis, TN
FULL_TIME
- Summary Prepares and files Medicare,Medicaid and Champus cost reports using established policies and procedures in order to comply with Federal and State regulations. Performs other duties as assigned...
- 26 Days Ago
Veterinary Assistant
- BLUFF CITY VETERINARY SPECIALIST INC
-
Memphis, TN
FULL_TIME
- We are looking to hire to add to our daily staff to assist the doctors and technicians with their daily work. You will need to be able to restrain animals and learn quickly. We perform a variety of sp...
- 2 Months Ago
Veterinary Receptionist
- BLUFF CITY VETERINARY SPECIALIST INC
-
Memphis, TN
FULL_TIME
- We are looking for a compassionate and organized Veterinary Receptionist who will join our pet care team. You will work at the front desk greeting, welcoming, and checking in the clients with their pe...
- 11 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Jackson, TN area
Human Resource Coordinator-Jackson, TN-OnSite
- Stanley Black & Decker
-
Jackson, TN
- Come make the world and accelerate your success. It takes great people to achieve greatness. People with a sense of purp...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Telemetry - $2,170 per week
- Hiring Now!
-
Jackson, TN
- LanceSoft is seeking a travel nurse RN Telemetry for a travel nursing job in Jackson, Tennessee. Job Description & Requi...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Telemetry - COVID19 - $2,224 per week
- Hiring Now!
-
Jackson, TN
- LanceSoft is seeking a travel nurse RN Telemetry for a travel nursing job in Jackson, Tennessee. Job Description & Requi...
- 4/19/2024 12:00:00 AM
Local Contract Nurse RN - Telemetry - $53-55 per hour
- Lancesoft
-
Jackson, TN
- LanceSoft is seeking a local contract nurse RN Telemetry for a local contract nursing job in Jackson, Tennessee. Job Des...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med Surg / Telemetry - $2,110 per week
- Travel Nurses Inc.
-
Jackson, TN
- Travel Nurses, Inc. is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Jackson, Tennessee. Jo...
- 4/19/2024 12:00:00 AM
Travel Ultrasound Technologist - $2,060 per week
- Hiring Now!
-
Jackson, TN
- Travel Nurses, Inc. is seeking a travel Ultrasound Technologist for a travel job in Jackson, Tennessee. Job Description ...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med/Surg in Jackson, TN
- Care Team Solutions
-
Jackson, TN
- Details: Must Have 2+ Years of recent Telemetry experience. Specialty: Telemetry Discipline: Registered Nurse Start Date...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Telemetry - $2,110 per week
- Hiring Now!
-
Jackson, TN
- Travel Nurses, Inc. is seeking a travel nurse RN Telemetry for a travel nursing job in Jackson, Tennessee. Job Descripti...
- 4/18/2024 12:00:00 AM
About Jackson, Tennessee
Jackson is a city in and the county seat of Madison County, Tennessee. Located 70 miles (110 km) east of Memphis, it is a regional center of trade for West Tennessee. Its total population was 65,211 at the 2010 census and 67,265 in the 2012 Census estimate.
Jackson is the primary city of the Jackson, Tennessee metropolitan area, which is included in the Jackson-Humboldt, Tennessee combined statistical area. Jackson is Madison County's largest city, and the second-largest city in West Tennessee next to Memphis. It is home to the Tennessee Supreme Court's courthouse for West Tennessee, as Jackso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,894 to $50,907
Jackson, Tennessee area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
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You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
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.
January 08, 2020