Reimbursement Specialist - Healthcare jobs in Bloomington, IL

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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Strategic Reimbursement Consultant
  • OSF HealthCare
  • Peoria, IL FULL_TIME
  • Overview

    Expected pay for this position is $45.70 - $53.77/hour. Actual pay will be determined by experience, skills and internal equity.

     

    POSITION SUMMARY: The Strategic Reimbursement Consultant ensures compliance with reimbursement requirements, including annual cost reports for government payors. This role is responsible for regulatory reimbursement reporting and management of Medicare and Medicaid audits and appeals. The Strategic Reimbursement Consultant provides reimbursement expertise for Medicare, Medicaid and other payor contracts for OSF Healthcare. This position is responsible for leading projects to improve reimbursement and will perform analysis on reimbursement for various strategic initiatives and legislative impact analysis.


    Qualifications

    REQUIRED QUALIFICATIONS:

    • Education: Bachelor’s Degree in Healthcare Administration, Accounting, Finance or Business.
    • Experience: 4 years of healthcare reimbursement experience
    • Understanding of healthcare operations, reimbursement and operational regulations that would normally be acquired over 1 to 3 years of relevant healthcare reimbursement experience.
    • Demonstrated knowledge of reimbursement and cost reporting in an integrated healthcare environment.

     

    Other Skills/ Knowledge:

    • Excellent interpersonal and communication skills.
    • Solid computer skills, including proficiency with Microsoft software.
    • Strong analytical and problem solving skills, with the ability to be detail oriented.

     

    PREFERRED QUALIFICATIONS:

    • Education: MBA or CPA

     

    OSF HealthCare is an Equal Opportunity Employer.

  • 3 Days Ago

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Reimbursement Coding Specialist (UICOMP Pediatrics)
  • University of Illinois
  • Peoria, IL FULL_TIME
  • Reimbursement Coding Specialist (UICOMP Pediatrics) Hiring Department: Pediatrics Location: Peoria, IL USA Requisition ID: 1014607 Posting Close Date: 10/21/22 About the University of Illinois Chicago...
  • 26 Days Ago

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PI Specialist
  • OSF HealthCare
  • OTTAWA, IL FULL_TIME
  • OverviewExpected pay for this position is $37.99 - $44.70/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Performance Improvement Specialist is res...
  • 5 Days Ago

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Referral Lab Specialist
  • OSF HealthCare
  • PEORIA, IL FULL_TIME
  • OverviewStarting pay for this position is $17.60/hour.2nd shift differential is $1.75/hour.POSITION SUMMARY: This position is responsible for processing all orders and specimens to outside referral la...
  • Just Posted

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Patient Services Specialist
  • OSF HealthCare
  • PEORIA, IL FULL_TIME
  • OverviewMonday-Friday; 7:30am-4:00pm/9:30am-6:00pm; work schedule can vary; rotating call may be required. This position will be working in OSF HomeCare Pharmacy. Expected pay for this position is $21...
  • Just Posted

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Surgery Support Specialist II
  • OSF HealthCare
  • PEORIA, IL FULL_TIME
  • OverviewStarting pay for this position is $17.14/hour. POSITION SUMMARY: Reporting to the Manager and Assistant Patient Care Manager and according to department policies provide appropriate basic nurs...
  • 3 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Bloomington, IL area

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Travel Nurse RN - Med Surg - $2,229 per week
  • Hiring Now!
  • Normal, IL
  • RNnetwork is seeking a travel nurse RN Med Surg for a travel nursing job in Normal, Illinois. Job Description & Requirem...
  • 4/30/2024 12:00:00 AM

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Travel Skilled Nursing Facility Speech Language Pathologist - $2,029 per week
  • Hiring Now!
  • Bloomington, IL
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Speech Language Pathologist for a travel job in Bl...
  • 4/30/2024 12:00:00 AM

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Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
  • Western Express
  • BLOOMINGTON, IL
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-4187 Real Miles. Real Money. Western Express has immed...
  • 4/29/2024 12:00:00 AM

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Travel Nurse RN - Oncology Med Surg - $2,209 per week
  • Care Team Solutions
  • Normal, IL
  • Care Team Solutions is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Tempe, Arizona....
  • 4/29/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,441 per week
  • Care Team Solutions
  • Normal, IL
  • Care Team Solutions is seeking a travel Speech Language Pathologist for a travel job in Fort Smith, Arkansas.Job Descrip...
  • 4/29/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,434 per week
  • Triage Staffing
  • Normal, IL
  • Triage Staffing is seeking a travel nurse RN CVICU for a travel nursing job in Normal, Illinois.Job Description & Requir...
  • 4/29/2024 12:00:00 AM

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Travel Nurse RN - Rehabilitation - $2,209 per week
  • Hiring Now!
  • Normal, IL
  • Care Team Solutions is seeking a travel nurse RN Rehabilitation for a travel nursing job in Normal, Illinois.Job Descrip...
  • 4/29/2024 12:00:00 AM

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Travel Rehabilitation RN (Registered Nurse) in Normal, IL - 699775
  • Medical Solutions
  • Normal, IL
  • $1881.68-$2088.45 wk (includes wage of ~$19.99-$25.74/hr and per diems if eligible) click for benefits and other job det...
  • 4/29/2024 12:00:00 AM

Bloomington is a city in and the county seat of McLean County, Illinois, United States. It is adjacent to Normal, and is the more populous of the two principal municipalities of the Bloomington-Normal metropolitan area. The 2010 Census showed the city had a population of 76,610, making it the 12th most populated city in Illinois, and the fifth-most populous city in the state outside the Chicago Metropolitan Area. Combined with Normal, the twin cities have a population of roughly 130,000. Bloomington is located at 40°29′03″N 88°59′37″W. The city is at an elevation of 797 feet (243 m) above sea ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,252 to $52,559
Bloomington, Illinois area prices
were up 1.3% from a year ago

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You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
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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