Reimbursement Specialist - Healthcare jobs in Wisconsin

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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REIMBURSEMENT ANALYST SUPPORT
  • Fort Healthcare Inc
  • Fort Atkinson, WI FULL_TIME
  • 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:

    • Monitors and analyzes data within Revenue Cycle. Develops and maintains skills in data collection, reimbursement analysis, and communication.
    • Maintains in depth knowledge of FHC providers and service lines.
    • Works in conjunction with Reimbursement Analyst to research, review and audit functions on charges and reimbursements as needed.
    • Assists with the annual price increase calculations and forecasting process.
    • Works in conjunction with Patient Financial Services Manager to prepare Revenue Cycle Dashboard.
    • Works in conjunction with EDI Team Lead to reconcile credit card reconciliation.
    • Prepares Good Faith Estimates
    • Review and post invoices
    • Net Receipt file and reconciliation.
    • Completes department-specific orientation and annual competencies for this position.
    • Performs other duties as assigned.

    Requirements for this position include:

    • Bachelors degree required.
    • Masters degree preferred.
    • 2 years of relevant analytics experience required.
    • Healthcare quality or financial data experience preferred.
    • Excellent communication skills written and verbal. Ability to work with all stakeholders to identify opportunities for improvement. Advanced MS Office product knowledge (pivot tables, vlookup, macros) required.
    • Proven record of financial reporting and dashboarding experience. Previous knowledge of Cerner reporting preferred.

    Benefits:

    • Competitive pay
    • Competitive shift differentials (2nd,3rd, and weekends)
    • 401(k) with employer match
    • Generous PTO Plan
    • Daycare
    • Dental insurance
    • Disability insurance
    • Flexible Spending
    • Health Insurance
    • Comprehensive Wellness Plan
    • Life Insurance
    • Pharmacy Discount
    • Tuition Assistance
    • Vision and Dental Insurance
    • Employee Assistance Program
    • Free Parking

    Experience

    Preferred
    • 1 year(s): Accounting or Revenue Cycle in Healthcare preferred

    Education

    Required
    • High School or better

    Skills

    Preferred
    • 1-2 years medical office experience

    Behaviors

    Preferred
    • Team Player: Works well as a member of a group
    • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
  • 1 Month Ago

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Clinical Reimbursement Specialist
  • Key Rehabilitation
  • Milwaukee, WI FULL_TIME
  • Overview MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist. A minumum ...
  • 19 Days Ago

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Healthcare Specialist
  • Stericycle Inc
  • Oshkosh, WI FULL_TIME
  • At Stericycle, we deliver solutions and drive innovations that protect the environment, people, and public health. This includes working to create a more sustainable, shared future. Our innovative sol...
  • 1 Month Ago

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Regional Reimbursement Specialist (Regional MDS Director)
  • Champion Care
  • Milwaukee, WI FULL_TIME
  • Due to our recent growth we are currently interviewing for a Regional Reimbursement Specialist to add to our team in Southeastern WI! At Champion Care, we are driven by a noble mission: to deliver unp...
  • 13 Days Ago

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Marketing Specialist Healthcare
  • Champion Care
  • Rhinelander, WI FULL_TIME
  • Champion Care is currently interviewing for a Marketing Specialist for our Rhinelander/Laona/Suring/Oconto/Antigo markets. The Marketing Specialist will be responsible for driving individualized strat...
  • 7 Days Ago

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Plant HealthCare Specialist
  • Willow River Company
  • Hudson, WI FULL_TIME
  • Willow River Company has deep roots in the St. Croix Valley. It is a family-owned and -operated business that prides itself in the ability to employ nothing but people from the communities of which we...
  • 8 Days Ago

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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

H
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

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Clinical Reimbursement Specialist
  • Life Care Centers of America
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 4/22/2024 12:00:00 AM

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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

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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...
  • 4/21/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Southeast Division
  • Altamonte Springs, FL
  • Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
  • 4/21/2024 12:00:00 AM

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Clinical Reimbursement Specialist
  • Bluebird Staffing
  • REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
  • 4/19/2024 12:00:00 AM

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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...
  • 4/19/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,507 to $54,082

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