Reimbursement Specialist - Healthcare jobs in Utah
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 Benefit Specialist (Salt Lake City, UT)
- BeneSys, Inc.
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Salt Lake, UT
FULL_TIME
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Healthcare Benefit Specialist (Salt Lake City, UT)Summary – The Healthcare Benefit Specialist will serve as a knowledgeable and resourceful benefits expert, empowering members to navigate their plans with confidence and ease. Actively listen to inquiries, research, and resolve complex issues, and provide accurate and timely information while ensuring efficient data management. Utilize strong analytical and critical thinking skills to make using their benefits easier for members and to streamline communication with BeneSys, fostering positive relationships and improving overall member satisfaction.Essential Duties include but not limited toMember Support
- Provide exceptional member support via phone calls, walk-ins, and emails related to enrollment and healthcare benefits.
- Assist members in navigating their healthcare benefits effectively by resolving inquiries and addressing concerns as the BeneSys primary point of contact. Questions could be related to deductibles, out of pocket accumulators, medical, prescription and disability benefits.
- Provide accurate and timely information to members regarding their healthcare benefits through active listening and effective communication.
- Utilize strong analytical and critical thinking skills to research and resolve complex eligibility and healthcare benefit inquiries.
- Communicate with vendors/carriers on behalf of the member regarding eligibility issues.
Data Entry and Enrollment- Ensure accurate enrollment processing by collecting enrollment forms and self-payments, adding members and dependents to systems, and verifying documentation.
- Maintain member data integrity by updating records, processing month-end reports, and resolving discrepancies.
- Streamline benefit access by preparing enrollment packages, issuing ID cards, and notifying members of qualifying events.
- Possess a thorough understanding of plan rules outlined in the Summary Plan Description to answer member inquiries accurately and provide informed guidance regarding eligibility.
- Use month-end reports to determine eligibility, reinstatement, and termination of health care coverage.
- Ensure accurate and timely enrollment by processing monthly reports and distributing enrollment packages, COBRA information and self-payment bills efficiently.
- Create Claim Action Form (CAF) for claim resolution and completing all CAF assigned to their attention.
Required Experience and Qualifications- Experience in a fast-paced environment with proven ability to manage high call volume and prioritize tasks effectively.
- Demonstrated success in resolving inquiries and complaints while exceeding customer satisfaction standards.
- Effective communication skills both written and verbal, with the ability to convey complex information clearly and concisely to diverse audiences.
- Empathy and active listening skills to understand member concerns and provide reassurance and emotional support.
- Proven ability to build rapport and establish trust with members, creating positive relationships.
- Problem-solving and analytical abilities.
- Empathy and emotional intelligence.
- Excellent research and investigative skills.
- Background in healthcare a plus.
- Passion for advocating for others and making a difference.
- Leadership skills.
- Regular and predictable attendance is an essential function of this job.
Preferred Experience and Qualifications- Familiarity with basic medical types of health insurance plans.
- Experience in a customer service role, ideally within the healthcare industry is preferred.
- Experience handling complex issues or working with diverse populations can be an advantage.
- Supervisory experience is a plus.
- Candidates with experience leading and motivating teams will be given strong consideration.
Impact - The Healthcare Benefit Specialist will have a profound impact on the lives of members. You will be more than a Healthcare Specialist; you will be a healthcare hero, resolving eligibility issues and translating complex plan rules and benefits into clear, concise language, ultimately improving the lives of members during their most challenging moments.Work Environment - Fast paced environment. Must be able to work independently as well as in a team. Must be able to multi-task and be detail oriented.Work Schedule - Full time, Monday - Friday, 7:30am - 4:30pm. Required in office (no at-home days).Competitive Benefits and Compensation Package- Paid Time Off (PTO)
- 15 days of PTO during first full calendar year!
- Medical, dental, vision, and life insurance
- Company-paid basic life, short-term disability, long-term disability, and AD&D insurances
- 401k with employer match
- Tuition reimbursement program
- Career development opportunities
- Referral bonus for all successful full-time referrals
Pay - The rate for this position is $22.00 per hour. Actual rate offered dependent on skills, experience, education and other business factors.Our CultureBeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.Our culture focuses on three core values:- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA & EEOReasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job. - 13 Days Ago
Hand
- Larson Tower Specialist
-
Riverton, UT
FULL_TIME
- Seize the Summit : Join the Larson Tower Team as a Top Hand! Are you a seasoned tower climber ready to lead the way? Do you possess the technical prowess and unwavering spirit to guide our crew to eve...
- Just Posted
Warehouse
- Larson Tower Specialist
-
Riverton, UT
FULL_TIME
- Job Description Job Description Benefits : Basic Life insurance SIRA 3% Match Dental insurance Health insurance Paid time off Profit sharing Training & development Vision insurance Company Overview : ...
- 6 Days Ago
Telecommunications Tower Technician Green Hand
- Larson Tower Specialist
-
Riverton, UT
FULL_TIME
- Benefits: SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Profit sharing Trai...
- 1 Month Ago
EMPLOYMENT SPECIALIST
- Natsu Healthcare
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Tooele, UT
FULL_TIME
- Nat-Su Healthcare is looking for a Full-Time Employment Specialist. In this role, your mission is to create lasting connections between clients and employers, forging the ideal employment match. The E...
- 20 Days Ago
AR Specialist
- Serenity Healthcare
-
Lehi, UT
FULL_TIME
- AR Specialist *Onsite - Lehi, UT If you are looking for a high level of growth opportunity within an organization that positively impacts lives, please join our team! Serenity is a rapidly growing Hea...
- 20 Days Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule:Mon-Fri 9am-5pm (2 days remote after training) Salary:$23.00-$25.00 / hour The Reimbursement Specialist is char...
- 4/26/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Bluebird Staffing
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- REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
- 4/24/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
- 4/24/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 4/24/2024 12:00:00 AM
Field Reimbursement Specialist
- Syneos Health
-
Richmond, VA
- Updated: April 2, 2024Location: Richmond, VA, United StatesJob ID: 3941DescriptionYou are an expert facilitator: you ope...
- 4/24/2024 12:00:00 AM
Reimbursement Specialist Knox
- Helen Ross McNabb Center
-
Knoxville, TN
- Reimbursement Specialist Knox Do you want to helpensure the continued success of an organization known for its positive ...
- 4/24/2024 12:00:00 AM
Healthcare Reimbursement Specialist
- LogixHealth
-
Bedford, MA
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Specialist at LogixHealth, you will wo...
- 4/22/2024 12:00:00 AM
Coding and Reimbursement Specialist
- Howard University
-
Washington, DC
- The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic...
- 4/22/2024 12:00:00 AM
About Utah
Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau.
Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,840 to $52,056
Most Popular Cities in Utah for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019