Reimbursement Specialist - Healthcare jobs in Torrance, 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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Healthcare Enrollment Specialist
  • Morgan Stephens
  • Long Beach, CA FULL_TIME
  • Job Title: Healthcare Enrollment Specialist 

    Location: Remote 

    Company Overview: We are ia leading healthcare services provider committed to ensuring accessible and comprehensive health coverage for all. We are currently seeking a dedicated and detail-oriented Healthcare Enrollment Specialist to join our team. This is a temporary-to-permanent position with the flexibility of working remotely.

    Responsibilities:

    1. Enrollment Assistance:

      • Guide clients through the healthcare enrollment process.
      • Provide detailed explanations of available benefit plans and options.
      • Assist clients in selecting appropriate healthcare coverage based on their needs.
    2. Client Communication:

      • Maintain clear and effective communication with clients via phone, email, and virtual platforms.
      • Address client inquiries, concerns, and provide timely and accurate information.
    3. Documentation and Record Keeping:

      • Ensure accurate and complete documentation of client information.
      • Record client interactions and update relevant databases.
    4. Bilingual Support (Preferred):

      • Utilize bilingual skills in Spanish to assist Spanish-speaking clients effectively.
      • Translate and explain healthcare-related information to clients.
    5. Compliance:

      • Stay informed about healthcare regulations and enrollment guidelines.
      • Ensure compliance with industry standards and organizational policies.
    6. Problem Resolution:

      • Identify and resolve issues related to the enrollment process promptly.
      • Collaborate with internal teams to address complex client concerns.

    Qualifications:

    • Previous experience in healthcare enrollment or a related field is required.
    • Strong customer service and interpersonal skills.
    • Bilingual proficiency in English and Spanish is a plus.
    • Excellent communication and active listening skills.
    • Ability to work independently and remotely.
    • Detail-oriented with strong organizational skills.

    Benefits:

    • Competitive compensation.
    • Opportunities for career advancement.
    • Comprehensive training and ongoing professional development.
    • Temporary-to-permanent position for the right candidate.
  • 2 Days Ago

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Claims Appeals Specialist - Healthcare (Remote)
  • Morgan Stephens
  • Long Beach, CA FULL_TIME
  • Job Title: Specialist for Claims Appeals Resolution Salary: $65,000-$90,000 Medical Benefits offered Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM Overview: Join our team a...
  • 2 Days Ago

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Provider Contracts Specialist
  • Molina Healthcare
  • Long Beach, CA FULL_TIME
  • ***Remote and must live in Utah*** JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical...
  • 26 Days Ago

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Performance Improvement Specialist
  • VITAS Healthcare Careers
  • Torrance, CA FULL_TIME
  • QUALIFICATIONS Qualified candidates must be credentialed and licensed (as required) health care professional preferred. Certified Professional in Healthcare Quality preferred. Knowledge of hospice ope...
  • 22 Days Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Torrance, 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...
  • 2 Months Ago

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Byram Healthcare, Pharmacy Technician (Bilingual)
  • Byram Healthcare Centers Inc
  • Torrance, CA FULL_TIME
  • At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50 facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technolog...
  • 2 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Torrance, CA area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Harbor City, CA
  • [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
  • Lancaster, CA
  • [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
  • Sherman Oaks, CA
  • [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
  • North Hills, CA
  • [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
  • Reseda, CA
  • [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
  • Northridge, CA
  • [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
  • La Crescenta, CA
  • [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
  • West Hills, CA
  • [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

Torrance is a coastal community in southwestern Los Angeles County sharing the climate and geographical features common to the Greater Los Angeles area. Its boundaries are: Redondo Beach Boulevard and the cities of Lawndale and Gardena to the north; Western Avenue and the Harbor Gateway neighborhood of Los Angeles to the east; the Palos Verdes Hills with the cities of Lomita, Rolling Hills Estates and Palos Verdes Estates on the south; and the Pacific Ocean and city of Redondo Beach to the west. It is about 20 miles (32 km) southwest of Downtown Los Angeles. Torrance Beach lies between Redondo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$49,823 to $60,541
Torrance, California area prices
were up 3.2% 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