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)
Ouachita Healthcare is looking for just the right person to join our business office team. This job requires a professional demeanor, friendly attitude, excellent organizational skills, attention to detail, and ability to work with others to meet deadlines, as well asbookkeeping, accounting, and long term care experience. THIS IS NOT A MEDICAL CODING POSITION.
Job duties include accounts receivable and bank deposits, tracking daily facility census, maintaining resident trust fund and banking hours, verifying insurance benefits, maintaining proper documentation for state agencies, assisting with Medicaid applications, entering skilled invoices and assist with month-end billing.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
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Work Location: In person