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)
Senior Manager
Blue & Co. is more than a CPA advisory firm: We’re a community and we take care of our own. That’s what our mission and culture are all about — empowering employees to live their best lives both inside and outside of work.
We are a firm with a growth mindset looking for people who are eager to succeed and build their careers, while delivering exemplary customer service.
As an integral team member from day one, you will work in a growing, professional environment where you will serve as an advisor to a diverse client base and continue to build the career you envision. At Blue & Co. you’ll serve our client’s needs and develop creative solutions that holistically add value to their business because you genuinely want your clients to succeed.
Responsibilities:
Position Requirements:
We are Responsive. We are Caring. We are Advocates.
We will not sponsor an employment related visa for this position. A background check will be required for employment in this position. Blue is an EOE/AA employer. M/F/D/V. All individuals, including minorities, women, individuals with disabilities, and veterans are encouraged to apply.