Reimbursement Specialist - Healthcare jobs in Kenner, LA

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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Admission Specialist
  • Ness Healthcare
  • Mandeville, LA FULL_TIME
  • 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:

    • Review prospective admissions with working knowledge of medical terminology, diagnoses, and lab work
    • Communicate with the doctor any prospective patients’ medical history for approval
    • Conduct pre-admission assessments
    • Initiate contact to gather required clinical and demographic data from patient and other sources
    • Must demonstrate sound judgment and exhibit positive decision-making skills always when working with patients. Must be able to demonstrate the ability to maintain composure and restrict emotional or reactive behaviors when confronted with physical or verbal altercations by patients and residents
    • Provide positive customer service to visitors, guests, employees, and patients assisting them with the matters they present
    • Receive incoming phone calls directing them to the proper department/contact person, log and communicate messages provided by the caller, transfer calls to and from the units. Page codes over the intercom when a code comes through on the radio
    • Communicate with the doctor any prospective patients’ medical history for approval
    • Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions
    • Assist prospective patients and significant others in seeking treatment
    • Coordinate with referral sources
    • Responsible for maintaining all the documentation involved with the admissions process
    • Conducts insurance verifications
    • Perform other functions and tasks as assigned. 

    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.

     

     

     

     

     

  • 14 Days Ago

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Billing and Reimbursement Data Coordinator
  • Tulane University
  • Orleans, LA FULL_TIME
  • The Billing and Reimbursement Data Coordinator acts as a liaison between Hospital and Clinic departments to ensure proper collections, maintenance and quality of demographics and financial data; maint...
  • 1 Month Ago

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PEER SUPPORT SPECIALIST
  • Ness Healthcare
  • Mandeville, LA FULL_TIME
  • ***MUST BE A CERTIFIED PEER SUPPORT SPECIALIST*** The Peer Specialist is an office and community-based position which assists Crisis Evaluators in providing immediate response to mental health crisis ...
  • 18 Days Ago

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PEER SUPPORT SPECIALIST
  • Ness Healthcare
  • Mandeville, LA FULL_TIME
  • ***MUST BE A CERTIFIED PEER SUPPORT SPECIALIST*** The Peer Specialist is an office and community-based position which assists Crisis Evaluators in providing immediate response to mental health crisis ...
  • 23 Days Ago

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Certified Therapeutic Recreation Specialist
  • Oceans Healthcare
  • Gretna, LA FULL_TIME
  • At Oceans Behavioral Hospital Greater New Orleans, healing is our focus. We are passionate about helping adults and seniors manage the challenges associated with anxiety, depression and other mental h...
  • 1 Day Ago

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Billing Collections Specialist
  • Symbion Healthcare
  • Houma, LA FULL_TIME
  • Employment Type: Full-Time Hours Per Week: 40 JOB TITLE: Revenue Cycle Clerk GENERAL SUMMARY OF DUTIES: The Billing Collections Specialist maintains the revenue cycle workflow including posting electr...
  • 10 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Kenner, LA area

Kenner (historically French: Cannes-Brûlées) is the seventh-largest city in the U.S. State of Louisiana following New Orleans, Baton Rouge, Shreveport, Lafayette, Lake Charles and Bossier City. It is the largest city in Jefferson Parish and the largest incorporated suburban city of New Orleans. The population was 66,702 at the 2010 census. Kenner's coordinates are 30°0′35″N 90°15′2″W / 30.00972°N 90.25056°W / 30.00972; -90.25056 (30.009610, −90.250585) and has an elevation of 0 ft (0 m). According to the United States Census Bureau, the city has a total area of 15.2 square miles (39 km2), o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,471 to $52,823
Kenner, Louisiana area prices
were up 1.2% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
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