Reimbursement Specialist - Healthcare jobs in Eugene, OR

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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Healthcare Finance Specialist
  • DOCS Management Services
  • Coos Bay, OR FULL_TIME
  • We are currently hiring a Healthcare Finance Specialist! If you are dependable, possess payroll experience and strong attention to detail, willingness to learn, and value being part of a team that makes a difference, you may be the right person for the position! Apply today!
    Classification:NON-EXEMPT | Status & Location:Full Time, Monday - Friday, generally 8am to 5pm, Pacific Time
    Salary:$23.09 - $27.20/hourly | Location:Coos Bay | Department:Finance | Reports to:Controller
    Supervision Exercised:Non-Supervisory
    Job Purpose: Finance Specialist
    The primary objective of this role is to offer comprehensive assistance to the Finance department's audit initiatives and Coordinated Care Organization (CCO) spending programs. Additionally, this position serves as a dependable backup for diverse finance functions, including accounts payable (AP), and credit card checkouts.
    Qualifications, Education, & Experience
    • Minimum High School Diploma or GED; associate or bachelor's degree in related field, experience in lieu of education will be considered
    • Three to five years' experience in a fast-paced finance, accounting, or payroll department
    • Experience with financial administrative, fiscal record keeping, and auditing procedures
    • Accounting or auditing certification strongly preferred, or willing to obtain
    Essential Responsibilities: Spending Programs, Auditing Support, and Special Projects
    1. Collaborate with cross-functional teams to track spending program budgets, ensuring adherence to financial guidelines and objectives
    2. Monitor and track spending activities, maintaining accurate records of expenses, allocations, and variances for reporting and analysis
    3. Review and approve spending requests, ensuring compliance with established policies, and obtaining necessary authorizations
    4. Prepare regular and ad hoc spending reports
    5. Payroll Cost Share
    6. Prepares biweekly payroll processing including proper payroll deductions for taxes, benefits, and other deductions
    7. Enters, maintains, and processes information in accounting and payroll systems
    8. Coordinate with payroll processing company to ensure processing of federal and state payroll tax deposits
    9. Ensures compliance with federal, state, and local payroll, wage, and hour laws and best practices
    10. Establish and maintain employee payroll records
    11. Process deposits
    12. Process voided checks, vendor refunds and returned checks as necessary
    13. Posted Scheduled Claims Payments in Accounting Software
    14. Prepare Monthly Capitation
    15. As directed, approve all electronic payments
    16. Verify accounts payable, proper coding of payments, and other related financial reporting
    17. Process incoming email inquiries or route to the appropriate Finance position
    18. Order office supplies bi-weekly
    19. Post state payments
    20. Collaborate with internal and external auditors during audits, providing necessary documentation, explanations, and assistance
    21. Perform other ad hoc finance-related tasks and projects as assigned by the Controller or CFO
    22. Provide backup coverage for AP and Credit Card Checkouts, analyze and resolve issues or challenges that arise while performing backup roles, maintain accurate records of tasks performed, outcomes achieved while filling in for backup roles, play a pivotal role during unexpected events by stepping into backup roles to ensure continuity of operations
    23. Maintains timely and accurate required records, reports, and files to ensure adherence to GAAP within accounting department
    24. Maintain Quickbook backup schedule
    25. Prepare Pregnancy Notices
    26. Participate in quality and organizational process improvement activities and teams when requested
    27. Ensure compliance with company policies and procedures as applicable to area(s) of responsibility
    28. Handle confidential information and materials appropriately and maintain a secure work area
    29. Other duties as assigned
    Essential Responsibilities: ORGANIZATIONAL TEAM MEMBER
    • Participate in quality and organizational process improvement activities when requested
    • Support and contribute to effective safety, quality, and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities
    • Openly, clearly, and respectfully share and receive information, opinions, concerns, and feedback in a supportive manner
    • Work collaboratively by mentoring new and existing co-workers, building bridges, and creating rapport with team members across the organization
    • Provide excellent customer service to all internal and external customers, which includes team members, members, students, visitors, and vendors, by consistently exceeding the customer's expectations
    • Recognize new developments and remain current in care management and coordination best practice standards and anticipate organizational modifications
    • Advance personal knowledge base by pursuing continuing education to enhance professional competence
    • Promote individual and organizational integrity by exhibiting ethical behavior to maintain high standards
    • Represent organization at meetings and conferences as applicable
    Knowledge, Skills, & Abilities:
    • Understanding of auditing principles, procedures, and standards, and budgeting and financial planning concepts
    • Familiarity with relevant regulatory frameworks and compliance requirements
    • Knowledge of financial reporting and documentation standards
    • Proficiency in using auditing software and tools
    • Data analysis and interpretation skills
    • Attention to detail and accuracy in reviewing financial records
    • Analytical thinking and problem-solving capabilities
    • Time management and adaptability to meet audit deadlines and other requirements
    • Awareness of compliance and regulations related to CCO spending programs
    • Project management for coordinating spending initiatives
    • Multitasking to handle primary and backup role duties
    • Task prioritization and time management
    • Flexibility to switch between primary and backup roles seamlessly
    • Problem-solving to address challenges in the absence of primary role holders
    • Team collaboration and willingness to assist colleagues
    • Ability to maintain confidentiality and ethical conduct
    • Ability to leverage financial software and tools to facilitate spending tracking, analysis, and reporting, optimizing data accuracy and accessibility
    • Ability to report to work as scheduled, and willingness to work a flexible schedule when needed
    • Proficient in Microsoft Office Suite and Windows Operating System (OS)
    • Training in or awareness of Health Literacy, Poverty Informed, Systemic Oppression, language access and the use of healthcare interpreters, uses of data to drive health equity, Cultural Awareness, Trauma-Informed Care, Adverse Childhood Experiences (ACEs), Culturally and Linguistically Appropriate Service (CLAS) Standards, and universal access
    • Knowledge and understanding of how the positions' responsibilities contribute to the department and company goals and mission
    • Knowledge of federal and state laws including OSHA, HIPAA, Waste Fraud and Abuse
    • Awareness and understanding of equity, diversity, inclusion, and the equity lens: ability to analyze the unfair benefits and/or burdens within a society or population by understanding the social, political, and environmental contexts of policies, programs, and practices
    • Excellent people skills and friendly demeanor
    • Critical thinking skills of using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems
    • Attention to detail and organization skills
    • Ability to handle stress and sensitive situations effectively while projecting a professional attitude
    • Ability to communicate professionally, both conversing and written
    • Ability to work with diverse populations and interact with people of differing personalities and backgrounds
    • Sensitive to economic considerations, human needs and aware of how one's actions may affect others
    • Ability to organize and work in a sensitive manner with people from other cultures
    • Poised; maintains composure and sense of purpose
    Working Conditions:
    This position must have the ability to remain in a stationary position, occasionally move about inside the office to access office machinery, printer, etc., frequently communicate and exchange accurate information.
    Work Condition: Onsite
    Employee generally works within the interior of an office. Employee may travel locally and be responsible for own transportation. Out of area travel may be required on occasion. Hours of operations and specific staff scheduling may vary based on operational need. The office environment is clean with a comfortable temperature and moderate noise level.
    Exposed to: Cold/heat controls, close contact with employees and the public in office environment.
    Machines, equipment, tools, and supplies used: Constantly operates a computer or other office productivity machinery, such as postage machine, fax, copier, calculator, multi-line telephone system, scanner
    May answer a high volume of telephone calls, complete documentation, and use computer programs to either obtain or record information.
    Multiple Duties: Must be able to work under conditions of frequent interruption and be able to stay on task.
    Other Information:
    This job description is intended to provide only basic guidelines for meeting job requirements. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of DOCS Management Services employees. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.


    Compensation details: 23.09-27.2 Hourly Wage



    PIf5261d918e33-25401-33980611


    About the Company:
    DOCS Management Services



  • 1 Month Ago

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Healthcare Finance Specialist - Payroll Specialist
  • DOCS Management Services
  • Coos Bay, OR FULL_TIME
  • We are currently hiring a Healthcare Finance Specialist! If you are dependable, possess payroll experience and strong attention to detail, willingness to learn, and value being part of a team that mak...
  • 30 Days Ago

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Healthcare Finance Specialist - Payroll Specialist (Onsite Coos Bay)
  • DOCS Management Services
  • Coos Bay, OR FULL_TIME
  • For a full job description and to apply, please visit: www.advancedhealth.com/careers Job Purpose: Finance and Payroll Specialist The primary objective of this role is to offer comprehensive assistanc...
  • 13 Days Ago

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Hearing aid specialist
  • Hearing Healthcare Recruiters
  • Eugene, OR FULL_TIME
  • is proud to present this opportunity in the beautiful state of Oregon! We are seeking an Audiologist or a Hearing Aid Specialist in the Eugene, OR area who is motivated by his / her career in the hear...
  • 19 Days Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Eugene, OR 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...
  • 27 Days Ago

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Healthcare Financial Management - Perm - OR
  • ThreePDS Inc
  • Coos Bay, OR FULL_TIME,OTHER
  • PERM OPPORTUNITY - HEALTHCARE FINANCIAL MANAGER Job Title: Manager Financial Clearance Job Type: Full-time - PERMANENT Location: Coos Bay, OR Pay Range: Starting at $69,000 and higher based on experie...
  • 20 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Eugene, OR area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Corvallis, OR
  • [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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Travel Skilled Nursing Facility Speech Language Pathologist - $2,128 per week
  • GetMed Allied
  • Eugene, OR
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Speech Language Pathologist for a travel job in Eu...
  • 4/22/2024 12:00:00 AM

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Full-Time Hospice Medical Social Worker
  • Signature Healthcare At Home
  • Eugene, OR
  • Now Hiring! Full-Time Hospice Medical Social Worker Must be a Licensed Social Worker in Oregon (LMSW, CSWA or LCSW) Offi...
  • 4/22/2024 12:00:00 AM

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Information Technology Support Specialist
  • Riverstrong
  • Eugene, OR
  • Riverstrong is looking for driven IT Support Specialists who possess the grit and energy to help us grow in an MSP start...
  • 4/22/2024 12:00:00 AM

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Detailer
  • King Retail Solutions
  • Eugene, OR
  • Collaborate with our teams of talented design and production professionals to help bring our clients’ retail spaces to l...
  • 4/21/2024 12:00:00 AM

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Detailer
  • King Retail Solutions
  • Eugene, OR
  • Collaborate with our teams of talented design and production professionals to help bring our clients retail spaces to li...
  • 4/21/2024 12:00:00 AM

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Travel Outpatient Physical Therapist - $1,875 per week
  • GetMed Allied
  • Eugene, OR
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Eugene, Oregon. Job Descr...
  • 4/21/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Eugene, OR
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/20/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 43.74 square miles (113.29 km2), of which 43.72 square miles (113.23 km2) is land and 0.02 square miles (0.05 km2) is water. Eugene is at an elevation of 426 feet (130 m). To the north of downtown is Skinner Butte. Northeast of the city is the Coburg Hills. Spencer Butte is a prominent landmark south of the city. Mount Pisgah is southeast of Eugene and includes Mount Pisgah Arboretum and Howard Buford Recreation Area, a Lane County Park. Eugene is surrounded by foothills and forests to the south, east, and west, while t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,093 to $54,793
Eugene, Oregon area prices
were up 2.5% 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