Reimbursement Specialist - Healthcare jobs in San Diego, CA

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 I - Reimbursement Service
  • Rady Children's Hospital-San Diego
  • San Diego, CA FULL_TIME
  • JOB SUMMARY:

    Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources and professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal and external entities. This position expects the Reimbursement Specialist I to demonstrate organization and time management skills to manage account collections.

     

    MINIMUM QUALIFICATIONS:

    HS Diploma, GED or Equivalent

    2 Years of Experience

    Proficient in Microsoft Excel, Word and Outlook programs

     

    PREFERRED QUALIFICATIONS:

    Associate's degree

    3 Years of Experience

     

    The expected hiring range for this position is $20.00 to $27.50

    Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

  • 7 Days Ago

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Reimbursement Specialist ll #1143
  • Royalty Staffing
  • San Ysidro, CA FULL_TIME
  • Join a thriving medical network as a Reimbursement Specialist ll!The Reimbursement Specialist II is responsible for the complete revenue cycle including billing medical, dental and/or hospital claims....
  • 23 Days Ago

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Billing Reimbursement Specialist II
  • NeoGenomics Laboratories
  • Carlsbad, CA FULL_TIME
  • Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while co...
  • 9 Days Ago

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Virtual Field Reimbursement Specialist
  • Syneos Health Clinical
  • San Diego, CA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 12 Days Ago

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Virtual Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • San Diego, CA FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined...
  • 12 Days Ago

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Reimbursement Specialist I
  • BizTek People, Inc. | APA International Placement Consultants
  • San Diego, CA FULL_TIME
  • Job DescriptionThis is an in-office position that will entail primarily supporting the department’s paper functions including, sending paper claims, appeals, refund requests etc. Under the direction o...
  • 15 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in San Diego, CA area

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Sales Representative – On-site San Diego, CA - $18-$21/hr - showroom
  • RemX | The Workforce Experts
  • San Diego, CA
  • Leading supplier of flooring, countertop, wall tile, and hardscaping products in North America is looking for a reliable...
  • 3/28/2024 12:00:00 AM

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Access & Reimbursement Manager (ARM) NPS CV San Diego - Remote
  • Vets Hired
  • San Diego, CA
  • About the job Access & Reimbursement Manager (ARM) NPS CV San Diego - Remote Your Key Responsibilities: Interact within ...
  • 3/27/2024 12:00:00 AM

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Behavior Interventionist
  • Easterseals Southern California
  • San Diego, CA
  • Overview Easterseals Southern California has fantastic opportunities for individuals looking to begin or continue a care...
  • 3/27/2024 12:00:00 AM

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Senior Business Analyst-100% Fully Remote
  • DataStaff, Inc.
  • San Diego, CA
  • About the job DataStaff, Inc. is seeking a Senior Business Analyst for a long-term contract opportunity with one of our ...
  • 3/27/2024 12:00:00 AM

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Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
  • Avantax Planning Partners
  • San Diego, CA
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 3/27/2024 12:00:00 AM

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Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
  • Avantax Planning Partners
  • San Diego, CA
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 3/27/2024 12:00:00 AM

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Community Manager - San Diego
  • Action Property Management
  • San Diego, CA
  • Job Description Action Property Management is a privately held company that manages more high-rise residential buildings...
  • 3/26/2024 12:00:00 AM

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Civil Project Manager - Senior VII
  • RailPros
  • San Diego, CA
  • Job Details Job Location San Diego, CA Position Type Full Time Education Level 4 Year Degree Salary Range $175,000.00 - ...
  • 3/25/2024 12:00:00 AM

According to SDSU professor emeritus Monte Marshall, San Diego Bay is "the surface expression of a north-south-trending, nested graben". The Rose Canyon and Point Loma fault zones are part of the San Andreas Fault system. About 40 miles (64 km) east of the bay are the Laguna Mountains in the Peninsular Ranges, which are part of the backbone of the American continents. The city lies on approximately 200 deep canyons and hills separating its mesas, creating small pockets of natural open space scattered throughout the city and giving it a hilly geography. Traditionally, San Diegans have built the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,891 to $59,408
San Diego, California area prices
were up 2.6% 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