Reimbursement Specialist - Healthcare jobs in Jonesboro, AR
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)
Recently Added Reimbursement Specialist - Healthcare jobs
INFUSION REIMBURSEMENT COORD
- St. Bernards Healthcare
-
JONESBORO, AR
FULL_TIME
- JOB REQUIREMENTS Education Bachelor#s Degree, Business or Healthcare Administration required. Experience 1-3 years of healthcare experience with knowledge of the reimbursement/denials process. Knowledge of reimbursement systems, Federal, State and payor-specific regulations pertaining to documentation and billing. Knowledge of billing process, possesses process management, leadership and interpersonal skills. Must be proficient in spreadsheet, presentations, word processing and database applications. Requires excellent written and verbal communication skills. Must be able to act independently, have meticulous follow-up skills, organizational skills, prioritization skills and experience working in a team environment. Ability to interact well with physicians, physician offices, Business Office personnel, etc. to obtain appropriate information related to the reimbursement/denial process. Physical Normal hospital business office environment. Extremely close eye work with use of computer up to 8 hours a day. Hearing within normal range. Continuous sitting approximately 90% of the work day. Operates calculator, computer, copier and general office equipment. Occasional walking, bending and lifting of 5-10 pounds. This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. JOB SUMMARY Responsible for monitoring, tracking, aggregating and trending reimbursement and denials information according to discrete outpatient denial codes. Will review for medical necessity. Analyze information related to infusion denials and follow up with appropriate action through the reimbursement and denial process. Works with infusion center to prevent denials. Assists UM Coordinator with denials and appeals. Close out each tracked denial (overturned or recouped). Overall works to increase revenue capture related to infusion center. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center. Must manage competing priorities, multi-task with results oriented outcomes and work in a fast-paced environment. This position is required to utilize independent judgement. This position requires timely response to inquiries from payer. This position has high contact with physicians, clinical areas and business office.
- 1 Month Ago
Regional Reimbursement Specialist (Regional MDS Director)
- Champion Care
-
Memphis, TN
FULL_TIME
- Due to our recent growth we are currently interviewing for a Regional Reimbursement Specialist to add to our team in Tennessee! At Champion Care, we are driven by a noble mission: to deliver unparalle...
- 4 Days Ago
Learning & Development Specialist (HealthCare)
- Planned Parenthood of Tennessee & N. Mississippi
-
Memphis, TN
FULL_TIME
- Learning & Development Specialist STATUS: Non-Exempt/Hourly ABOUT PPTNM: Planned Parenthood of Tennessee and North Mississippi is one of Tennessee's oldest and largest private, non-profit health care ...
- Just Posted
Healthcare System Specialist – Memphis, TN
- Astellas Pharma
-
Memphis, TN
OTHER
- Healthcare System Specialist – Memphis, TN The Healthcare Systems Specialist has multiple responsibilities around the promotion of Astellas products and resources to a variety of stakeholders within H...
- 21 Days Ago
Healthcare Recruiter
- Maxim Healthcare Services
-
Memphis, TN
FULL_TIME
- Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
- Just Posted
Veterinary Assistant
- BLUFF CITY VETERINARY SPECIALIST INC
-
Memphis, TN
FULL_TIME
- We are looking to hire to add to our daily staff to assist the doctors and technicians with their daily work. You will need to be able to restrain animals and learn quickly. We perform a variety of sp...
- 2 Months Ago
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0 Reimbursement Specialist - Healthcare jobs found in Jonesboro, AR area
CDL-A OTR Driver - Earn 45-60 CPM + Benefits
- U.S. Xpress
-
Jonesboro, AR
- U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
- 4/29/2024 12:00:00 AM
CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
- U.S. Xpress
-
Jonesboro, AR
- U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
- 4/29/2024 12:00:00 AM
Travel Ultrasound Technologist - Adult Echocardiography $2556/wk
- Nomad Health
-
Jonesboro, AR
- Our knowledgeable team of experts are here to help you navigate your way through the entire process.Why choose Nomad? Re...
- 4/28/2024 12:00:00 AM
Vice President - Enterprise Sales
- Ritter Communications Holdings Llc
-
Jonesboro, AR
- Job Description Job Description Ritter Communications has been at the forefront of the local communications industry for...
- 4/28/2024 12:00:00 AM
Travel Cath Lab Technologist - $2,620 per week
- Hiring Now!
-
Jonesboro, AR
- Travel Nurses, Inc. is seeking a travel Cath Lab Technologist for a travel job in Jonesboro, Arkansas. Job Description &...
- 4/27/2024 12:00:00 AM
CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
- U.S. Xpress
-
Jonesboro, AR
- U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
- 4/26/2024 12:00:00 AM
Pest Control Specialist
- Rentokil Initial
-
Jonesboro, AR
- **Pest Control Specialist** CAROUSEL_PARAGRAPH * Jonesboro, Arkansas * Technical Services * 30511 ** Share Job** ** Job ...
- 4/25/2024 12:00:00 AM
Pest Control Specialist
- Rentokil Initial Group
-
Jonesboro, AR
- **Pest Control Specialist** CAROUSEL_PARAGRAPH * Jonesboro, Arkansas * Technical Services * 30511 ** Share Job** ** Job ...
- 4/25/2024 12:00:00 AM
About Jonesboro, Arkansas
Jonesboro is a city located on Crowley's Ridge in the northeastern corner of the U.S. State of Arkansas. Jonesboro is one of two county seats of Craighead County and the home of Arkansas State University. According to the 2010 Census, the city had a population of 71,551 and is the fifth-largest city in Arkansas.
Jonesboro is the cultural and economic center of northeastern Arkansas. It is the principal city of the Jonesboro, Arkansas Metropolitan Statistical Area. In 2010, the Jonesboro metropolitan area had a population of 121,026 and a population of 163,116 in the Jonesboro-Paragould Combine...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,894 to $50,907
Jonesboro, Arkansas area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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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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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