Reimbursement Specialist - Healthcare jobs in Michigan

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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Insurance Reimbursement Specialist
  • Strategic Administrative and Reimbursement Service
  • Grand Rapids, MI FULL_TIME
  • Description

    Who we are: Advanced Radiology Services is one of the largest 100% physician-owned and managed radiology practices in the country. Our growing practice includes 214 radiologists, 44 advanced practice providers, and over 200 employees providing administrative support in our wholly owned subsidiary STARS. We value diversity on our team and promote a culture of inclusion.


    What we are looking for: The Medical Biller / Insurance Reimbursement Specialist is responsible for working rejected claims from all insurances regarding diagnostic or procedural code denials. Maintain the accounts receivable for the assigned/designated insurances. This position has the option to work remotely after in-office training.


    Responsibilities:

    • Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.
    • Work rejections for insurance companies regarding diagnostic and procedure code denials.
    • Contact insurance companies for verification of claim status and clarification of denials.
    • Work delinquent claims in regards to diagnostic and procedure code denials for insurance companies that are aged.
    • Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance company.
    • File appeals if refund requests are disputable.
    • Thoroughly document all actions taken on patient account in the history.
    • Document, retain, and report files of all common trends of rejections for assigned insurance companies to the supervisor.
    • Identify and report billing process and systems errors, including coding, date entry, payment posting to the supervisor

    What’s great about working for STARS?

    • Important Work-Because of the great behind the scenes work that you do- our company can provide outstanding radiology services to so many patients in Michigan.
    • Stability- This practice has gone through significant growth and is here to stay.
    • Work/Life Balance/Flexibility- Many of our positions work from home or in a hybrid schedule!
    • Outstanding Benefits- We have a 7.5% 401k contribution! (wait it’s not even a match?)
    • Culture- It’s built on transparency, support and recognition! We call out good work.
    • Click here to learn more from our employees: https://www.advancedrad.com/careers/ Scroll to STARS Employee Survey Feedback 2022

    Requirements

    • Minimum of two years of experience of medical billing and coding experience, this should include working AR/Rejections and working with Workers Comp, Auto; Priority Health, BCBS, Medicaid denials is a plus
    • High school diploma or GED equivalent required
    • Some college or additional experience in Medical Billing/Coding required, CPC or RCC certification preferred but will consider work experience in lieu of certification
    • Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes
    • Excellent problem solving and analytical skills
    • Strong computer skills including billing/coding systems and intermediate Excel skills
  • 5 Days Ago

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Denials Project Specialist
  • Strategic Administrative and Reimbursement Service
  • Grand Rapids, MI FULL_TIME
  • DescriptionWho we are: Advanced Radiology Services is one of the largest 100% physician-owned and managed radiology practices in the country. Our growing practice includes 214 radiologists, 44 advance...
  • 11 Days Ago

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REIMBURSEMENT ANALYST
  • Covenant HealthCare
  • Saginaw, MI FULL_TIME
  • REIMBURSEMENT ANALYST(Job Id 18865) Location US:MI:SAGINAW Category PROFESSIONAL Employment Type EMPLOYEE Post Date 01/17/2024 Close Date Description Covenant HealthCare US:MI:SAGINAW 8:00 AM - 4:30 P...
  • 12 Days Ago

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Senior Reimbursement Analyst
  • Memorial Healthcare
  • Owosso, MI FULL_TIME
  • JOB SUMMARY Assists Manager of Revenue Integrity and Reimbursement with month-end close reimbursement analysis, various cost report preparations, varied financial analyses, financial forecasts, annual...
  • 24 Days Ago

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Billing and Reimbursement Specialist* 40hr/wk
  • umhealthwest
  • Wyoming, MI FULL_TIME
  • Billing and Reimbursement Specialist* 40hr/wk Requisition #: req7767 Shift: Days FTE status: 1 On-call: No Weekends: No General Summary: A Billing and Reimbursement Specialist is responsible for the a...
  • 19 Days Ago

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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Detroit, MI FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the management of defined accounts in a specified geograp...
  • 16 Days Ago

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Clinical Reimbursement Specialist
  • Life Care Centers of America
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/28/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southeast Division
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southwest Division
  • Las Vegas, NV
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 3/27/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • CareOne
  • Fort Lee, NJ
  • Now Hiring - Clinical Reimbursement Specialist - Fort Lee, NJ 07024 The Clinical Reimbursement Specialist assures the im...
  • 3/26/2024 12:00:00 AM

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Reimbursement Specialist
  • Vinfen
  • Cambridge, MA
  • Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • By The Bay Health
  • Larkspur, CA
  • This position offers competitive pay, generous benefits, and a supportive work environment! We are seeking a full-time R...
  • 3/25/2024 12:00:00 AM

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Reimbursement Specialist
  • PROMPTCARE HOME INFUSION LLC
  • New Providence, NJ
  • Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
  • 3/25/2024 12:00:00 AM

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Medical Reimbursement Specialist
  • HealthDrive Corporation
  • Framingham, MA
  • Answer incoming facility and billing related customer telephone calls and provide exceptional customer service when inte...
  • 3/24/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,933 to $54,598

Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019