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)
Vice President, Reimbursement and Operational Finance
CommuniCare Health Services is a fast-growing provider of long-term care with over 130 facilities located in 7 states. Due to current growth, we are recruiting for a Vice President of Reimbursement and Operational Finance.
The Vice President of Reimbursement and Operational Finance reports to the Chief Operating Officer and also has a strong dotted line to the CFO. The position will be responsible to prepare and present forecasts and recommendations to senior operations leadership based upon opportunities and changes in State Medicaid payment programs.
Estimated Pay: $160k/annually
Responsibilities:
Qualifications:
As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.