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)
We are a leader in the long-term care industry operating in 6 different states. It is our commitment to the care of our residents and our staff that sets us apart from the rest. From the development of our Scratch Kitchens to the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!
Come work for a growing company, who appreciates the value of its team members!
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0 Reimbursement Specialist - Healthcare jobs found in Lynchburg, VA area