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)
Description:Do you live in Eastern Montana? Are you someone who has a desire to help Montana’s healthcare organizations, providers and their partners plan, prepare, respond, and recover from emergencies in your community?
This position will serve as the planning coordinator and plan developer for the Regional Healthcare Coalition of Eastern Montana. Duties will include engaging key stakeholders and coordinating the development of preparedness and response planning needs with the goal of creating an effective and coordinated response among healthcare system partners. This position will support the continuous development of a comprehensive training, exercise, and performance improvement cycle that includes the participating hospitals, EMS, public health, emergency management partners, and all other ESF8 partners. Responsible for the planning process including; identifying planning gaps, developing plans, implementing plans, evaluating plans and plan improvements and revisions.
Program Management
Outreach and Engagement
Data and Information Management
Requirements:EDUCATION, EXPERIENCE, AND CERTIFICATION REQUIREMENTS· Minimum of an Associate’s degree in a health-related field or four (4) years of experience in a rural hospital, emergency preparedness, or public health organization or equivalent combination of education and experience. · Up-to-date knowledge and experience working with database management software such as EXCEL or Access. Prior experience in program management, public speaking, and planning, organization of professional meetings/conferences desired.
Competitive applicants should have or obtain within one year the following: applicable Juvare platforms, Microsoft Office Products, Knowledge of Healthcare Coalitions, FEMA Courses; IS100, IS120, IS130, IS200, IS235, IS700, IS800.· Upon hire, applicant is encouraged to obtain the following: FRAME, HSEP, HERT, HCL, and HID and obtain credentials in BDLS, ADLS, CHEC.
Travel Requirement: Intermittent travel is required; the position functions out of the office at association events/other meetings approximately 1-2 times/month (for 2-5 days), with additional travel as needed. Montana driver’s license is required with the ability to drive across the state by car.
Must live in one of the following Montana counties:
Benefits:
Pay: $47,000.00 - $58,000.00 per year