Reimbursement Specialist - Healthcare jobs in Trenton, NJ

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)

S
Access Reimbursement Manager
  • Syneos Health Commercial Solutions
  • Trenton, NJ FULL_TIME
  • Description

    You are an expert facilitator: you open doors, foster communication, and bridge the gap.

    In this role, you will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the clients product. Educate HCPs and their staff on matters related to reimbursement, access and coverage to facilitate appropriate patient access. You will:

    • Analyze access/reimbursement issues and opportunities
    • Educate and update HCPs on key private and public payer coverage and changes that impact the products access for patients
    • Coordinate on access/reimbursement issues with third parties including HUBs
    • Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)

    Essential Requirements:

    • BS/BA Degree
    • 5 years commercial biotech/pharmaceutical experience
    • 2 years field reimbursement experience preferably with specialty products
    • Must live within territory or within territory boundaries.

    Desired Requirements:

    • Dermatology experience
    • Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across physician types
    • Experience with commercial payers, Medicare plans and state Medicaid in geographic region

    At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesnt align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

    Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

    Work Here Matters Everywhere | How are you inspired to change lives?

    Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

    Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
    At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

  • 19 Days Ago

S
Access Reimbursement Manager
  • Syneos Health/ inVentiv Health Commercial LLC
  • Trenton, NJ FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap.In this role, you will operate as the subject-matter expert on reimbursement, access, and coverage i...
  • 19 Days Ago

S
Field Reimbursement Manager
  • Syneos Health Commercial Solutions
  • Trenton, NJ FULL_TIME
  • Description Youre an expert facilitator: you open doors, foster communication and bridge the gap. Connecting people with the information they need is your forte. Youre a unifier by nature and youre at...
  • 14 Days Ago

I
Sales marketing specialist
  • Interim Healthcare of Mercer
  • Lawrence, NJ FULL_TIME
  • Job Description Job Description General Purpose : Markets Interim HealthCare staffing services to prospective clients and current customers to increase profitable sales and continue the development of...
  • 19 Days Ago

H
Audiologist or Hearing Instrument Specialist
  • Hearing Healthcare Recruiters, LLC
  • Levittown, PA FULL_TIME
  • We are seeking an Audiologist or a Hearing Aid Specialist who is motivated by his/her career in the hearing industry!The candidate for this location must be licensed to dispense within the state. This...
  • 6 Days Ago

T
CNAs - Certified Home Healthcare
  • TriMED HealthCare, LLC
  • Richboro, PA FULL_TIME
  • HHAs, CNAs, PCAs. COMPASSIONATE PATIENT CAREGIVERS NEEDED IMMEDIATELY. Trimed HealthCare invites you to join our team of compassionate care givers as a Home Health Care Aide and earn a competitive sal...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Reimbursement Specialist - Healthcare jobs found in Trenton, NJ area

H
Travel Outpatient Physical Therapist - $1,784 per week
  • Hiring Now!
  • Trenton, NJ
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Hamilton, New Jersey. Job...
  • 4/27/2024 12:00:00 AM

U
Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
  • U.S. Xpress
  • Trenton, NJ
  • U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
  • 4/26/2024 12:00:00 AM

D
Adjunct Instructor - Medical Billing & Coding
  • Drexel University
  • Philadelphia, PA
  • Drexel University is an Equal Opportunity/Affirmative Action employer that welcomes individuals from diverse and neurodi...
  • 4/25/2024 12:00:00 AM

C
Energy Proposal Manager
  • Cadmus
  • Trenton, NJ
  • **Overview** **What Youll Be Doing** Cadmus is seeking an experienced proposal manager adept in technical sales writing,...
  • 4/25/2024 12:00:00 AM

H
Value Based Programs Lead
  • Humana
  • Trenton, NJ
  • Become a part of our caring community and help us put health first The Value-Based Programs Lead supports successful val...
  • 4/25/2024 12:00:00 AM

G
Network Training and Quality Assurance Manager, Dental Network Provider Relations
  • Guardian Life
  • Trenton, NJ
  • Position Summary As a member of the Network Strategy and Enablement team, the Network Training and Quality Assurance Man...
  • 4/25/2024 12:00:00 AM

P
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

A
Commercial Sales Manager
  • AutoZone, Inc.
  • Trenton, NJ
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 4/24/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 8.155 square miles (21.122 km2), including 7.648 square miles (19.809 km2) of land and 0.507 square mile (1.313 km2) of water (6.21%). Several bridges across the Delaware River – the Trenton–Morrisville Toll Bridge, Lower Trenton Bridge and Calhoun Street Bridge – connect Trenton to Morrisville, Pennsylvania, all of which are operated by the Delaware River Joint Toll Bridge Commission. Trenton is located near the exact geographic center of the state, which is 5 miles (8.0 km) located southeast of Trenton. The city is so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,922 to $59,446
Trenton, New Jersey area prices
were up 1.5% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020