Reimbursement Specialist - Healthcare jobs in Florence, 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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Business Development Specialist (Healthcare)
  • Careteam Plus, Inc.
  • Conway, SC FULL_TIME
  • 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:

    • Primarily responsible for executing strategic business development/networking activities, such as cold calling, field marketing, and community meetings to drive referrals & revnue to Careteam Plus Inc
    • Manage relationships with existing referral sources and patients/clients to facilitate repeat/continued business and develop new referral relationships.
    • Maintains acute awareness of current and potential competitive forces in the marketplace.
    • Ensures an active and continuous marketing plan that meets the overall strategic objectives is in place.
    • Develops and maintains Healthcare related relationships and seeks opportunities for new partnerships in the community.
    • Rounds daily with key position partners.
    • Develop, maintain, and build relationships with stakeholders in the Careteam service area to identify potential referrals targeting underinsured, uninsured, insured, and private pay insured individuals.
    • Represent Careteam brand at events, conferences, local events, and other community functions.
    • Acts as a liaison between referring sources and Careteam Operations to ensure education on referral processes and patient communication and scheduling occurs timely.
    • Serves as a service recovery specialist when patients/clients exit service due to dissatisfaction or another potentially repairable reason. Conducts swift follow up and action to recover.
    • Meets and exceeds new patient referral key performance indicator targets.
    • Careteam staff work together as a team and help each other and patients/clients by performing other duties as assigned.

    QUALIFICATIONS:

    Education

    • Bachelor’s degree in business administration, Marketing, Public Health or related field required.
    • Master’s degree preferred.

    Experience

    • A minimum of 2 years’ experience in a healthcare, marketing, sales, or business development setting preferred,

    Special Skills

    • Demonstrated successful experience in utilizing operational best practices involving strategic thinking to analyze information and align objectives with organizational success required.
    • Strong customer service focus leader required.
    • Exemplarily verbal and written communication skills required.
    • Highly organized, flexible, and able to determine & time manage competing priorities required.
    • Evidence of sound decision-making judgment and resourcefulness in problem solving required.
    • Able to delegate and identify pathways for successful timely task and project completion required.
    • Strong ability to establish quick rapport and relationships with all members of the organization required.
    • Highly proficient PC skills, including but not limited to, Microsoft Office software required.
    • Competitive spirit, with customer-focused attitude
    • Consistently positive attitude, with a commitment to ongoing self-development

    Other

    • Valid and in good standing SC driver’s license
    • Personal transportation to travel varying locations throughout the tri-county service region required.
    • Travel requirements: Primarily day-time travel within assigned service area and occasional overnight travel.
    • Meets Careteam Plus Employee Health Tuberculosis screening program requirements.

    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:

    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Employee discount
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Compensation package:

    • Performance bonus

    Schedule:

    • Day shift
    • No nights
    • No weekends

    Travel requirement:

    • Travel

    Language:

    • Spanish (Preferred)

    Work Location: In person

  • 7 Days Ago

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Healthcare assistant
  • Apollo Home Healthcare
  • Darlington, SC FULL_TIME
  • Job summary Are you a nurturing and dedicated individual who thrives from supporting and working with adults? Do you have a special place in your heart for enhancing the lives of the individuals you s...
  • 4 Days Ago

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Reimbursement Analyst- Pawleys Island, SC
  • Tidelands Health
  • Pawleys Island, SC OTHER
  • Responsibilities Position Summary: The Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the abilit...
  • 22 Days Ago

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Audiologist or Hearing Instrument Specialist
  • Hearing Healthcare Recruiters, LLC
  • Myrtle, SC FULL_TIME
  • This independent private practice is looking for a caring and compassionate Audiologist or Hearing Aid Specialist in the Myrtle Beach, SC area!Job Details/Responsibilities: Full-time, Monday-Friday, p...
  • 8 Days Ago

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Library Media Specialist – $34-$40/hr
  • Maxim Healthcare Staffing
  • Bennettsville, SC OTHER
  • $34 – $40 / hour Maxim Educational Services is seeking in person Library Media Specialists to work in Marlboro County, South Carolina. – Remainder of 2023- 2024 School Year Contract – South Carolina T...
  • 13 Days Ago

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Healthcare Administrator / LNHA (FT)
  • Senior Living Communities
  • Pawleys Island, SC FULL_TIME
  • Senior Living Communities is now accepting applications for Care Services Administrator (LNHA) for Lakes at Litchfield.Seeking a leader that possesses the natural desire to make a difference in the li...
  • 20 Days Ago

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

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CDL-A Truck Driver - Great Home Time - Competitive Pay
  • U.s. Xpress
  • Florence, SC
  • U.S. Xpress is Now Hiring CDL-A Dedicated & OTR Truck Drivers! Great Home Time - Competitive Pay - Excellent Benefits U....
  • 3/28/2024 12:00:00 AM

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Travel Skilled Nursing Facility Physical Therapist - $2,012 per week
  • GetMed Allied
  • Florence, SC
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Physical Therapist for a travel job in Florence, S...
  • 3/28/2024 12:00:00 AM

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Travel Outpatient Physical Therapist - $1,784 per week
  • GetMed Allied
  • Florence, SC
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Florence, South Carolina....
  • 3/28/2024 12:00:00 AM

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Travel Skilled Nursing Facility Speech Language Pathologist - $2,071 per week
  • GetMed Allied
  • Florence, SC
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Speech Language Pathologist for a travel job in Fl...
  • 3/28/2024 12:00:00 AM

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Physical Therapist - Travel Contract
  • Jackson Therapy Partners
  • Florence, SC
  • Pay up to $2012 per week We're seeking a full time Physical Therapist to provide expert physical therapy to patients wit...
  • 3/28/2024 12:00:00 AM

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Medical Equipment Service and Delivery
  • Agiliti Health, Inc.
  • Florence, SC
  • Job Description: Who We Are Agiliti is a nationwide company of passionate medical equipment management experts who belie...
  • 3/27/2024 12:00:00 AM

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Travel Home Health RN (Registered Nurse) in Florance, SC - 678073
  • Medical Solutions
  • Florance, SC
  • $1648.11-$1829.22 wk (includes wage of ~$15.19-$20.85/hr and per diems if eligible) click for benefits and other job det...
  • 3/26/2024 12:00:00 AM

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Physical Therapist - Travel Contract
  • Jackson Therapy Partners
  • Florence, SC
  • Pay up to $2332 per week We're seeking a full time Physical Therapist to provide expert physical therapy to patients wit...
  • 3/25/2024 12:00:00 AM

Florence /ˈflɒrəns/ is a city in, and the county seat of, Florence County, South Carolina, United States. It is probably best known for being the intersection of I-95 and I-20, and the eastern terminus of I-20. It is the county seat of Florence County and the primary city within the Florence metropolitan area. The area forms the core of the historical "Pee Dee" region of South Carolina, which includes the eight counties of northeastern South Carolina, along with sections of southeastern North Carolina. As of the 2010 census, the population of Florence was 37,056, and the estimated population i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,838 to $49,623
Florence, South Carolina area prices
were up 1.5% from a year ago

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