Reimbursement Specialist - Healthcare jobs in Newport News, VA

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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Reimbursement Specialist-A/R
  • MIDDLE PENINSULA NORTHERN NECK CSB
  • Gloucester, VA FULL_TIME
  • Employee provides billing processing and follow-up related to reimbursement of funds for the majority of agency fees including all State Plan Option Medicaid, MR Waiver Medicaid, Medicaid Taxi, Medicare, and managed care contracts. Work involves performing Utilization Reviews to insure that proper documentation supports each billing, along with the coordination of Medicaid, Medicare, and all managed care billings, including the tracking of client usage so that stated limitations to treatment are not exceeded. Employee is responsible for researching problem accounts and taking appropriate action, and for providing direction to other staff relating to third party insurance follow-up. Employee is also responsible for maintaining files and records.

    High School diploma supplemented by college-level course work in accounting, recordkeeping, insurance, or related field, and 1 to 2 years of experience in insurance collections and bookkeeping; or any equivalent combination of training and experience which provides the required skills, knowledge, experience, and abilities.


    Must possess a valid Virginia driver's license.

    MPNN CSB is an Equal Opportunity Employer and a Drug-Free Workplace committed to workforce diversity.

    Position Open Until Filled.

  • 12 Days Ago

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Reimbursement Specialist-A/R
  • Middle Peninsula Northern Neck Community Services Board Inc
  • Gloucester, VA FULL_TIME
  • Employee provides billing processing and follow-up related to reimbursement of funds for the majority of agency fees including all State Plan Option Medicaid, MR Waiver Medicaid, Medicaid Taxi, Medica...
  • 12 Days Ago

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Authorization Specialist
  • Interim HealthCare
  • Newport, VA FULL_TIME
  • Authorization Specialist in Newport News, Virginia Discover an authorization role that makes every day rewarding. As an Authorization Specialist for Interim HealthCare®, you’ll be part of a team that ...
  • 6 Days Ago

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Registered Peer Recovery Specialist
  • Pyramid Healthcare
  • Newport, VA FULL_TIME
  • Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, ...
  • 3 Days Ago

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Peer Recovery Support Specialist
  • Pyramid Healthcare
  • Newport, VA FULL_TIME
  • Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, ...
  • 6 Days Ago

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Regional Field Revenue Cycle Specialist
  • Saber Healthcare
  • Suffolk, VA FULL_TIME
  • Caring is at the heart of everything! Working in long term care offers many rewards you can’t find anywhere else. From the relationships you develop to the sense of pride you feel when you help others...
  • 21 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Newport News, VA area

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Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
  • 3/29/2024 12:00:00 AM

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CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 3/27/2024 12:00:00 AM

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Class A CDL Truck Driver DRY VAN - HIRING IMMEDIATELY Up to $90K!
  • Western Express
  • NEWPORT NEWS, VA
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 343-0932 Real Miles. Real Money. Western Express has immed...
  • 3/25/2024 12:00:00 AM

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Entry Level Class A CDL Truck Driver - HIRING IMMEDIATELY NO EXPERIENCE!
  • Western Express
  • NEWPORT NEWS, VA
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-3519 Why wait to earn more? Western Express has immedi...
  • 3/25/2024 12:00:00 AM

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Consumer Loan Sales Specialist
  • OneMain Financial
  • Newport News, VA
  • At OneMain, Consumer Loan Sales Specialists empower customers listening to their needs and providing access to friendly,...
  • 3/25/2024 12:00:00 AM

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CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 3/25/2024 12:00:00 AM

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CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
  • 3/25/2024 12:00:00 AM

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Server
  • First Watch Restaurants, Inc.
  • Hampton, VA
  • Overview: Our YOU FIRST Philosophy In addition to no night shifts, ever and our fully chef-curated menu, our #1 priority...
  • 3/25/2024 12:00:00 AM

Newport News is located at 37°4′15″N 76°29′4″W / 37.07083°N 76.48444°W / 37.07083; -76.48444 (37.071046, −76.484557). According to the United States Census Bureau, the city has a total area of 120 square miles (310 km2), of which 69 square miles (180 km2) is land and 51 square miles (130 km2) (42.4%) is water. The city is located at the Peninsula side of Hampton Roads in the Tidewater region of Virginia, bordering the Atlantic Ocean. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the nation with...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,895 to $52,122
Newport News, Virginia area prices
were up 1.2% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020