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)
Vanguard Reimbursement Services is a healthcare third party reimbursement company. Our services reach out to hospitals and communities across the state providing proactive experience and knowledge assisting those persons who are in need of help with Medicaid, Disability and Social Security Disability.
We are seeking an individual with Medicaid knowledge to work in a hospital setting as a Eligibility Specialist.
Above average computer skills required. This position may require travel but seldomly so.
1 POSITION AVAILABLE: Based in Kenansville, NC
Preferred 3 years experience working in an office environment.
Experience with Medicaid and knowledge in Social Security Disability is preferred but not required.
***SPANISH BILINGUAL a plus***
Professionalism is a must.
Full-time Position
Pay: $16.00 per hour - possibly higher dependent on experience
Job Type: Full-time
Pay: From $16.00 per hour
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person