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)
Position Summary: The Admissions Specialist is responsible for utilizing clinical expertise to perform assessments of patients potentially requiring mental health services. Clerical duties consisting of incoming phones, taking messages, sending emails, and reviewing referral packets. Maintain strict confidentiality of facility and patients. Provide positive customer service to patients, their families, and referral sources always. Represent the organization in a professional and respectful manner when off duty and in the community.
Responsibilities:
Minimum Qualifications:
Education: H.S. Diploma/GED and a minimum of 2 years working in behavioral health or medical office or Associate/Bachelor’s degree in the medical field.
Experience: Previous experience working in the medical field. Ability to read charts (knowledge of medical terminology, understanding of lab values, and medical diagnoses). Must have strong communication, organization, negotiation, and public relation skills and be proficient with a computer.
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0 Reimbursement Specialist - Healthcare jobs found in Kenner, LA area