Reimbursement Specialist - Healthcare jobs in Anderson, SC

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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The Onyx Group - Medical Reimbursement Specialist Team Lead
  • TribeOne, LLC DBA the Onyx Group
  • Greer, SC FULL_TIME
  • Job Title: Medical Reimbursement Specialist Team Lead
    Weekly Hours: Full-Time
    Posting: Internal and External
    Location: Remote, Hybrid, or In-Office (Greer)
    Supervised by: Coordinator, Billing

    Position Overview: Coordinates, in partnership with the Billing Coordinator, the billing and administrative operations for the Onyx Group Billing Department. Responsible for day-to-day operations including, but not limited to promotion of teamwork, adherence to applicable policies and procedures, and delivery of the overall patient experience. This position is responsible for training, answering questions, and establishing strong relationships with patients and insurance companies. Medical Reimbursement Specialists will utilize Lead for billing, claim, and insurance concerns.

    Responsibilities:
    • Works directly with the coordinator to identify new approaches and solutions to billing processes.
    • Responsible for ensuring all new MRS members are trained accurately and completely.
    • Works on MRS tasks when team members are out or if a team falls behind on their tasks.
    • Provides functional and process expertise to MRS including answering questions and running reports as needed.
    • Assists with the development and maintenance of billing rules and regulations.
    • Miscellaneous tasks assigned by the coordinator, such as leading meetings, working on spreadsheets, insurance representative communications, and attending additional team meetings.
    • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations; also conducts self under the Onyx employee handbook.
    • Practice Conscious Leadership
    • 100% Responsibility
    • Self-Aware
    • Committed to ending gossip
    • Practices Candor
    • Lives a life of Fun and Play
    • Hold team members accountable and address concerns.
    • Teams-all team members must be on Teams with extension and task listed.
    • Time Management
    • Keep manuals updated.
    • New hire training process
    • Assist with department goals.
    • Team appreciation
    Required Education & Certifications:
    • Physician billing and physician office experience. Excellent customer service skills: ability to work effectively with patients, team members, and the public.
    • Prefer leadership experience.
    • Knowledge of medical terminology and insurance practices. Skilled in gathering, interpreting, and reporting insurance information and troubleshooting issues. Ability to identify claim problems and recommend solutions. Strong in leadership, team development, and situational assessment skills as well as problem-solving. Strong ethics and a high level of personal and professional integrity are needed.
    Work environment and Physical Demands: Requires sitting, standing, and walking associated with a normal physician office environment. Person may be exposed to fumes, airborne particles, infectious diseases, blood/bodily fluids, and disease-bearing specimens.

    The Onyx Group is an equal opportunity employer.
  • 1 Month Ago

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Training and Compliance Specialist - Healthcare
  • Crossroads Treatment Centers
  • Greenville, SC FULL_TIME
  • The Training and Compliance Specialist/ Laboratory Operations Specialist is responsible for ensuring seamless functioning of laboratory operations by supporting ongoing laboratory initiatives, trainin...
  • 9 Days Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Greenville, SC
  • Cedar Mountain, NC FULL_TIME
  • TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Greenville, SC At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with T...
  • Just Posted

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Clinical Support Specialist- Remote
  • Medbridge Healthcare
  • Greenville, SC FULL_TIME
  • Seeking a Qualified Evening Shift Clinical Support Specialist for an in-house clinical staff position. Must have a current RPSGT. MedBridge Healthcare is seeking a full-time Sleep-experienced Clinical...
  • 7 Days Ago

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Non-Clinical - Human Resources Benefits Specialist
  • Aya Healthcare
  • Greenville, SC FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Benefits Specialist Non-Clinical - Human Resources in Greenville, South Carolina. This is a 13-week contract position that requires ...
  • 24 Days Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Greenville, SC FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 1 Month Ago

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0 Reimbursement Specialist - Healthcare jobs found in Anderson, SC area

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Travel Nurse RN - Med Surg - $1,967 per week
  • Hiring Now!
  • Anderson, SC
  • RNnetwork is seeking a travel nurse RN Med Surg for a travel nursing job in Anderson, South Carolina. Job Description & ...
  • 4/24/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,170 per week
  • PRN Healthcare
  • Anderson, SC
  • TWG Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Anderson, South Carolina. Job Description...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Simpsonville, SC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Greer, SC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Greenville, SC
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Retail Merchandising Specialist
  • BDS Connected Solutions, LLC.
  • Anderson, SC
  • At a Glance: $$$ Earn weekly pay at BDS! $$$ If you enjoy completing independent projects, are interested in collaborati...
  • 4/21/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Anderson, SC
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 4/20/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Anderson, SC
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 4/17/2024 12:00:00 AM

Anderson is a city in and the county seat of Anderson County, South Carolina, United States. The population was 26,686 at the 2010 census, and the city was the center of an urbanized area of 75,702. It is one of the principal cities in the Greenville-Anderson--Mauldin Metropolitan Statistical Area, which had a population of 824,112 at the 2010 census. It is further included in the larger Greenville-Spartanburg-Anderson, South Carolina Combined Statistical Area, with a total population of 1,266,995, at the 2010 census. Anderson is just off Interstate 85 and is 120 miles (190 km) from Atlanta an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,579 to $50,524
Anderson, South Carolina area prices
were up 1.5% from a year ago

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Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
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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