Reimbursement Specialist - Healthcare jobs in Santa Ana, 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)
Recently Added Reimbursement Specialist - Healthcare jobs
Healthcare Group Benefits Product Specialist
- Amwins Group, Inc.
-
Santa Ana, CA
FULL_TIME
-
Amwins is the industry leader because we hold ourselves accountable to deliver results – for our employees, our clients, our markets and our shareholders.We’ve built a workplace where talent is valued and success is celebrated. With a focus on service to our clients as well as our communities, our culture is defined by supporting each other. In this team-driven environment, Amwins creates the perfect place for you to grow your career with built-in support and opportunity to advance your knowledge base.At Amwins our people are our greatest asset. We hire the best talent in the industry and provide our employees with the tools to deliver innovative insurance solutions. We believe that by taking care of our employees they will take care of our clients and the cycle will perpetuate.The Healthcare Group Benefits Product Specialist role is a combination of supporting the carriers and product offerings, as well as researching and performing analysis including but not limited to, market analysis, rate and plan benefit comparisons, market surveys and product vetting. The Product Specialist owns the carriers they are assigned and is responsible for understanding the nuances of their carrier and products, as well as how they fit in the overall marketplace.Essential Responsibilities and Duties:
- Acts as internal communication point for various carriers and partners
- Verify and update carrier information received by our carrier/vendors on the company intranet and public facing website
- Proactively create sales tools and update content as well as continue to maintain and manage the current set of tools
- Review of website materials to ensure accuracy of carrier and product information and updated documents for website
- Provide reports to various stakeholders as well as the ability to use reports to analyze sales information in various projects
- Subject Matter Expert for assigned carriers (knowledge of carrier market position, strategy, value proposition and competitive situation)
- Subject Matter Expert for quoting systems and liaison for new product rating implementation
- Perform complex, advanced analysis of product line; analyze trends and develop tactical and strategic recommendations that drive and support business decisions and/or influence new initiatives
- Conducts regular carrier sales analysis of carrier performance with LISI/CoPower and its major competitors (resulting from carrier updates or as requested by sales or management)
- Independently manage projects of varying complexity; understand business objectives as they relate to project goals
- Facilitate regular carrier sales analysis of carrier performance with LISI and its major competitors (resulting from carrier updates or as requested by sales or management)
- Proactive creation of carrier reports
- Rate analysis
- Tools
- Templates
- Spreadsheets
- Conducts Training (webinars, onsite or individual contact for new hires or existing staff)
- Carrier quoting (HealthConnect)
- Other trainings as required
- Participate in information gathering and coordination of various project tasks as it relates to implementing new products and/or services
Knowledge and Experience:- Bachelor’s degree or equivalent work experience
- 5 years health benefits industry experience
- 5 years selling health insurance products
- Must possess strong carrier portfolio knowledge as well as extensive knowledge of the GA market and broker community
- Strong organizational, analytical, and communication skills
- Process and detail oriented
- Positive attitude and ability to coordinate changes and updates from various sources
- Quick learner and a team player with the ability to thrive in fast pace environments
- Proficient in MS Office Software, especially MS Word, Excel and Outlook
- Exercise good judgment and decision making
Necessary Skills and Attributes:- Ability to disseminate and communicate information to staff in an accurate and timely manner
- Ability to effectively analyze/research data, educate staff and develop tools and resources
- Ability to identify, coordinate, facilitate and manage project activities
- Ability to use technology and applications used by organization to follow best practices and generate engaging content
- Ability to quickly grasp new concepts and technologies and adapt to changes and demands in fast-paced, dynamic environment
- Strong written and verbal communication skills, as well as proven ability to effectively present technical concepts to non-technical individuals within and outside the organization
- Proficient in MS Office 2013 Software, especially MS Word, Excel, Powerpoint and Outlook
- 21 Days Ago
Veterinary Technician-OVERNIGHT/SWING SHIFTS
- Veterinary Surgical Specialist of Orange County
-
Tustin, CA
FULL_TIME
- DescriptionLooking to make a difference?Be part of a highly skilled team?Be a part of an innovative surgical and urgent care hospital!Overnight Technicians Needed!!We have a position for you with comp...
- 18 Days Ago
Internal Medicine RVT
- Veterinary Surgical Specialist of Orange County
-
Tustin, CA
FULL_TIME
- DescriptionLooking to make a difference?Be part of a highly skilled team?Be a part of an innovative Surgical/Urgent Care/Internal Medicine Practice!We have a position for you with competitive wages an...
- 12 Days Ago
Veterinary Client Care Representative
- Veterinary Surgical Specialist of Orange County
-
Tustin, CA
FULL_TIME
- DescriptionJob descriptionLooking to make a difference?Be part of a highly skilled team?Provide essential services for fur-family members and their parents?We have a position for you with competitive ...
- 26 Days Ago
Registered Nurse / Home Healthcare
- Cross Country Healthcare
-
Tustin, CA
FULL_TIME
- Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
- 1 Day Ago
Part-Time Salesperson (Commission-Based) – Healthcare Industry
- Interim HealthCare
-
Santa Ana, CA
PART_TIME
- Job Title: Part-Time Salesperson (Commission-Based) – Healthcare Industry Job Overview: We are seeking a dynamic and experienced part-time salesperson to join our team on a commission basis, focusing ...
- 1 Month Ago
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0 Reimbursement Specialist - Healthcare jobs found in Santa Ana, CA area
Virtual Field Reimbursement Specialist - Los Angeles, CA
- Syneos Health
-
Los Angeles, CA
- Virtual Field Reimbursement Specialist - Los Angeles, CA Updated: YesterdayLocation: Los Angeles, CA, United StatesJob I...
- 4/24/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Tustin, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Orange, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Stanton, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Costa Mesa, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Westminster, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
La Habra, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Garden Grove, CA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
About Santa Ana, California
Santa Ana /ˌsæntə ˈænə/ (Spanish for "Saint Anne") is the county seat and second most populous city in Orange County, California in the Los Angeles metropolitan area. The United States Census Bureau estimated its 2011 population at 329,427, making Santa Ana the 57th most-populous city in the United States.
Santa Ana is in Southern California, adjacent to the Santa Ana River, about 10 miles (16 km) from the coast. Founded in 1869, the city is part of the Greater Los Angeles Area, the second largest metropolitan area in the United States, with almost 18 million residents in 2010. Santa Ana is a ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$49,868 to $60,596
Santa Ana, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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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