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)
Fort HealthCare is a patient-centered hospital and healthcare system serving individuals, businesses and families in Jefferson, Dane, and Walworth Counties, and we are seeking a Reimbursement Analyst Support to join our Patient Financial Services team.
Shift:
Full time
80 hours per bi-weekly pay period
Day shift
Fort HealthCare is proud to be recognized by Modern Healthcare, a national health care publication, as one of the "Best Places to Work" as well as being named a 13-time award winner of the Milwaukee Journal/Sentinel Top Workplace award for Southeastern Wisconsin and a 3-time award winner of the USA Top Workplace award. In addition, Fort HealthCare is proud to be recognized by Chartis, a healthcare consulting firm, as one of the “Top 100 Rural & Community Hospitals” in the United States.
Our Mission Statement is our daily guide to provide the best health care possible. We promote it widely for all we serve to read, understand and to help our public hold us accountable for the promises we make.
Our Mission Statement - Improve the Health and Well-being of Our Community
Our Vision Statement provides each of us at Fort HealthCare with a goal. It is our motivation to improve constantly upon the level of care we provide, and the quality of services delivered.
Our Vision - Be the Healthiest Community in Wisconsin.
We offer competitive pay and benefits, education, and resources you need to perform your job and ample opportunities for professional growth.
Reimbursement Analyst Support - Data analysis, reimbursement analysis and communication are key to identify opportunities for improvement in the financial and revenue cycle domain. Works directly with the Patient Financial Services Manager to ensure that data collected is valid and accurately represented.
Responsibilities of this position include:
Requirements for this position include:
Benefits: