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 Title: Reimbursement Specialist
Date: April, 09, 2024
Location: Vancouver, BC
Remote: Yes
Business Unit: Health
Department: Pharma Patient Solutions
This is a great REMOTE opportunity to support a global pharmaceutical company that focuses on innovative medicines and is a leader in many therapeutic areas! If you a experience in drug reimbursement or related field, and want to make a positive impact in patients lives, apply today! Calian Patient Support Programs offers competitive salaries and a great benefits plan to all employees!
The Reimbursement Specialist (RS) works directly with patients to secure private or public insurance reimbursement for identified company brands. The RS represents patients with private or public insurers in an effort to optimize drug coverage and works collaboratively with the Health Management and Clinical Support teams to provide optimal patient support.
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