Reimbursement Specialist - Healthcare jobs in the United States

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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Insurance Reimbursement Specialist
  • Strategic Administrative and Reimbursement Service
  • Grand Rapids, MI FULL_TIME
  • Description

    Who we are: Advanced Radiology Services is one of the largest 100% physician-owned and managed radiology practices in the country. Our growing practice includes 214 radiologists, 44 advanced practice providers, and over 200 employees providing administrative support in our wholly owned subsidiary STARS. We value diversity on our team and promote a culture of inclusion.


    What we are looking for: The Medical Biller / Insurance Reimbursement Specialist is responsible for working rejected claims from all insurances regarding diagnostic or procedural code denials. Maintain the accounts receivable for the assigned/designated insurances. This position has the option to work remotely after in-office training.


    Responsibilities:

    • Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.
    • Work rejections for insurance companies regarding diagnostic and procedure code denials.
    • Contact insurance companies for verification of claim status and clarification of denials.
    • Work delinquent claims in regards to diagnostic and procedure code denials for insurance companies that are aged.
    • Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance company.
    • File appeals if refund requests are disputable.
    • Thoroughly document all actions taken on patient account in the history.
    • Document, retain, and report files of all common trends of rejections for assigned insurance companies to the supervisor.
    • Identify and report billing process and systems errors, including coding, date entry, payment posting to the supervisor

    What’s great about working for STARS?

    • Important Work-Because of the great behind the scenes work that you do- our company can provide outstanding radiology services to so many patients in Michigan.
    • Stability- This practice has gone through significant growth and is here to stay.
    • Work/Life Balance/Flexibility- Many of our positions work from home or in a hybrid schedule!
    • Outstanding Benefits- We have a 7.5% 401k contribution! (wait it’s not even a match?)
    • Culture- It’s built on transparency, support and recognition! We call out good work.
    • Click here to learn more from our employees: https://www.advancedrad.com/careers/ Scroll to STARS Employee Survey Feedback 2022

    Requirements

    • Minimum of two years of experience of medical billing and coding experience, this should include working AR/Rejections and working with Workers Comp, Auto; Priority Health, BCBS, Medicaid denials is a plus
    • High school diploma or GED equivalent required
    • Some college or additional experience in Medical Billing/Coding required, CPC or RCC certification preferred but will consider work experience in lieu of certification
    • Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes
    • Excellent problem solving and analytical skills
    • Strong computer skills including billing/coding systems and intermediate Excel skills
  • 4 Days Ago

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Reimbursement specialist
  • SIU HealthCare
  • Decatur, IL FULL_TIME
  • Description The primary purpose of this position is to be respsonsible for ICD-10 and CPT coding of services provided by physicians and mid-level providers for all outpatient and inpatient services fo...
  • 20 Days Ago

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Reimbursement Specialist
  • Maxim Healthcare Staffing
  • Columbia, MD FULL_TIME
  • Reimbursement Specialist Opportunities Our Reimbursement Specialists serve as liaisons between office partners, patients and payors. Daily responsibilities include reviewing office sales for appropria...
  • 13 Days Ago

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Reimbursement Specialist
  • Prime Healthcare Management Inc
  • Denville, NJ FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 15 Days Ago

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Reimbursement Specialist
  • Maxim Healthcare Services
  • Columbia, MD FULL_TIME
  • Maxim Healthcare Services is hiring for a Reimbursement Specialist who will serve as liaisons between office partners, patients and payers. Daily responsibilities include reviewing office sales for ap...
  • 17 Days Ago

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Reimbursement Specialist
  • Maxim Healthcare Staffing Services, Inc.
  • Columbia, MD OTHER
  • Reimbursement Specialist Opportunities Our Reimbursement Specialists serve as liaisons between office partners, patients and payors. Daily responsibilities include reviewing office sales for appropria...
  • 26 Days Ago

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Automotive Service Writer -Up to $1,000 Hiring Bonus (Loudoun County)
  • Virginia Tire & Auto
  • Ashburn, VA
  • Virginia Tire & Auto's Senior Service Advisors are true auto repair professionals and expert problem solvers. They are k...
  • 3/28/2024 12:00:00 AM

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CDL-A Truck Driver - Great Home Time - Earn Up to $70k+/Year
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring CDL-A Dedicated & OTR Truck Drivers! Great Home Time - Competitive Pay - Excellent Benefits U....
  • 3/28/2024 12:00:00 AM

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CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 3/27/2024 12:00:00 AM

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Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
  • 3/27/2024 12:00:00 AM

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CDL-A Truck Driver - Great Home Time - Competitive Pay
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring CDL-A Dedicated & OTR Truck Drivers! Great Home Time - Competitive Pay - Excellent Benefits U....
  • 3/27/2024 12:00:00 AM

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CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
  • 3/25/2024 12:00:00 AM

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CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Ashburn, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 3/25/2024 12:00:00 AM

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Physical Therapist - Travel Contract
  • Jackson Therapy Partners
  • Ashburn, VA
  • Pay up to $1620 per week We're seeking a full time Physical Therapist to provide expert physical therapy to patients wit...
  • 3/24/2024 12:00:00 AM

Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,305 to $55,050