Reimbursement Specialist - Healthcare jobs in New Jersey
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Specialist - PHMI New Jersey B.O.
- Prime Healthcare Management Inc
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Denville, NJ
FULL_TIME
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Overview:Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Responsibilities:
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdfUnder the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices.Qualifications:Education and Work Experience- Minimum four years hospital billing and collection experience required.
- Medical and Insurance terminology essential.
- Knowledge of CPT, ICD-9, HCPCS coding structures.
- Experience with payment/EOB review.
- Bachelor's degree preferred
- 1 Month Ago
Reimbursement Specialist
- Neurosurgeons of New Jersey
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Ridgewood, NJ
FULL_TIME
- Essential duties and responsibilities: The Reimbursement Specialist will be responsible for proper and timely posting of payments to patients accounts. This includes reviewing and analyzing electronic...
- 1 Month Ago
Reimbursement Specialist
- HBSI
-
Denville, NJ
FULL_TIME
- Reimbursement Specialist Facility Prime Healthcare Management Inc Location US-NJ-Denville ID 2024-154210 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt Overview ...
- 1 Month Ago
Reimbursement Specialist
- Saint Clare's Denville Hospital
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Denville, NJ
FULL_TIME
- Under the supervision of the Manager, the Reimbursement Specialist is the responsible for accurate and timely payment analysis of managed care contracts to determine that the appropriate reimbursement...
- 22 Days Ago
Reimbursement Specialist
- PROMPTCARE HOME INFUSION LLC
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New Providence, NJ
FULL_TIME
- DescriptionPromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient bil...
- 1 Month Ago
Clinical Reimbursement Specialist
- CareOne Group NEW
-
Fort Lee, NJ
FULL_TIME
- Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (ASSISTED LIVING) (LTACH) (SUB ACUTE CARE) Now Hiring - Clinical Reimbursement Specialist - Fort...
- 1 Month Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Addus Homecare
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Downers Grove, IL
- >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
- 4/17/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
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Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/17/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
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Cambridge, MA
- Schedule:Mon-Fri 9am-5pm (2 days remote after training) Salary:$23.00-$25.00 / hour The Reimbursement Specialist is char...
- 4/16/2024 12:00:00 AM
AR Reimbursement Specialist
- Crestwood Behavioral Health
-
Stockton, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/15/2024 12:00:00 AM
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...
- 4/14/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Bluebird Staffing
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- REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
- 4/14/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 4/14/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Bedford, MA
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/14/2024 12:00:00 AM
About New Jersey
New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River.
New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$49,372 to $59,994
Most Popular Cities in New Jersey for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
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