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)
Join us as we are under new Ownership. We are currently seeking a passionate, dedicated, hardworking, caring, and compassionate admissions director looking to work for a busy and action-packed nursing home. We pride ourselves on the level of care we provide.
Benefits:
Responsibilities Include:
The Admissions Director duties include building and maintaining relationships with families, conducting tours, managing admissions paperwork and process, growing census, and other duties as described by management.
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0 Reimbursement Specialist - Healthcare jobs found in Pembroke Pines, FL area