Reimbursement Specialist - Healthcare jobs in Raleigh, NC

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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Eligibility Specialist
  • Vanguard Reimbursement Services
  • Tarboro, NC PART_TIME,FULL_TIME
  • 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 an Eligibility Specialist.

    Above average computer skills required. This position may seldom require travel.

    1 POSITION AVAILABLE: Based in Tarboro, NC

    Preferred 3 years experience working in an office environment.

    Preferred but not required - Experience with Medicaid and knowledge in Social Security Disability.

    Preferred but not required - SPANISH BILINGUAL

    Professionalism is a must.

    30-40 Hours Weekly

    Pay: $16.00 per hour - possibly higher dependent on experience

    Job Types: Full-time, Part-time

    Pay: From $16.00 per hour

    Benefits:

    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work Location: In person

  • 8 Days Ago

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ViiV (GSK) Director, Learning & Development, Field Reimbursement (FRM)
  • ViiV Healthcare
  • Durham, NC FULL_TIME
  • ViiV Healthcare is an independent, global specialist HIV company dedicated to delivering innovative new options for the care and treatment of people living with HIV/AIDS. HIV presents a serious global...
  • 1 Month Ago

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Reimbursement Specialist - CSA QA and Ambulatory Support - Hybrid
  • Duke Health
  • Durham, NC FULL_TIME
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discov...
  • 24 Days Ago

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Reimbursement Specialist - HBC Vendor Support - Remote
  • Duke Health
  • Durham, NC FULL_TIME
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discov...
  • 25 Days Ago

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Healthcare Insurance - Customer Support Specialist
  • CustomerHD
  • Raleigh, NC FULL_TIME
  • Job Title: Customer Support Specialist Location: 5400 Glenwood Avenue Suite G-01, Raleigh, NC 27612 for a minimum of 8 weeks, then hybrid work from home based on performance Compensation Rate: $16/per...
  • 2 Months Ago

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Nurse Practitioner
  • Specialist Office
  • Wilson, NC FULL_TIME
  • Nurse Practitioner or Physician Assistant – OncologyWilson, North CarolinaMUST:Registered Nurse Practitioner or Physician AssistantMust have 2-3 years of NP/PA experienceOncology experience requiredGr...
  • 9 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Raleigh, NC area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Knightdale, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Apex, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Cary, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Morrisville, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Holly Springs, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Fuquay Varina, NC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Raleigh, NC
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/18/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Raleigh, NC
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/15/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,921 to $53,370
Raleigh, North Carolina area prices
were up 1.5% 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