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)
JOB DESCRIPTION :
Use your medical and public safety background to become an FBI Special Agent!
FBI Special Agents apply their professional expertise and unique skills sets to their work and role every day. Special Agents come from many professional backgrounds including previous roles in medical fields such as nurses and therapists.
We need Special Agents who are logical thinkers, those with prior scientific work experience and knowledge to aid in investigations of healthcare (medical, dental and vision) fraud and insurance and government program abuse and evidence collection.
As an FBI Special Agent, you can expect continued specialized training once onboard and opportunities to work on some of the Bureau's most complex cases.
The scope and scale of our investigations provide unique challenges unlike anything you could work on in the private sector.
SALARY LEVEL
Pay level for this position :
$81,000.00 $129,000.00
Salary is commensurate to experience and location.
DUTIES : Candidates must :
Candidates must :
Special Agents rarely return to their processing office. Applicants should ensure that their families are prepared for and support this move.
In addition, all Special Agent candidates must successfully complete the Special Agent Selection System (SASS), a mentally and physically challenging process designed to find only the most capable applicants.
The selection process typically takes one year or more to complete.
KEY REQUIREMENTS
You must :
EDUCATION
Candidates must have a bachelor’s degree or higher (preferably in a medical, health or public safety discipline) from a U.
S.-accredited college or university.
All degrees must be from an accredited college or university and must be verified by submitting college transcripts.
The FBI is an Equal Opportunity Employer, and all qualified applicants will receive consideration for this vacancy. Unless explicitly authorized by law, selection will be made without regard to, and there will be no discrimination because of, color, race, religion, national origin, marital status, parental status, physical or mental disability, genetic information, age (40 or over), sex (including pregnancy and related conditions, gender identity, and sexual orientation), or on the basis of personal favoritism, or any other non-merit factors.
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