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)
ABOUT US:
Careteam Plus, located in and serving the Grand Strand Myrtle Beach/Georgetown/Pawleys Island and Conway, SC area, is a primary medical and specialty care healthcare organization offering services for the entire family, from newborn to the elderly. We provide convenient access to exceptional healthcare services, when and where our patients need it regardless of their ability to pay.
POSITION SUMMARY:
The Business Development Specialist (BDS) works closely with the CEO and Executive Team to develop strategic business plans to build relationships with referring sources, key stakeholders, and other individuals to drive patient referral volume and revenue target growth to Careteam Plus. The BDS is a key representative of the primary care local brand in the market and is a trusted partner to external and internal stakeholders.
The BDS is a healthcare relationship builder who maintains strong relationships with key stakeholders, conducts market research and analysis to identify trends, competitive landscape, and patient and client needs. Collaborates with cross-functional teams to develop innovative solutions and drive business growth.
Directly responsible for creating demand for primary care healthcare services through the effective application of ethical marketing principles and sales methods while presenting a positive and professional public image of Careteam Plus within the community.
The Account Manager is responsible for implementing the facility’s strategic plan, enhancing the facility’s brand/image, effectively mapping, and managing the Careteam Plus multi-county service area. The BDS demonstrates tact, resourcefulness, patience, and dedication in a fast-paced healthcare environment.
ESSENTIAL DUTIES and RESPONSIBILITIES:
QUALIFICATIONS:
Education
Experience
Special Skills
Other
The Planned schedule to start is as below , but might adapt and change if different work hours are needed:
M, W and Th 8a to 5
Teus 8a to 6p
Fri 8a to 1p
EOE and very encouraging and inviting for applicants and our staff diversity to reflect the diverse population of patients we serve.
Job Type: Full-time
Pay: $46,000.00 - $61,000.00 per year
Benefits:
Compensation package:
Schedule:
Travel requirement:
Language:
Work Location: In person
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