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)
Job Title: Healthcare Enrollment Specialist
Location: Remote
Company Overview: We are ia leading healthcare services provider committed to ensuring accessible and comprehensive health coverage for all. We are currently seeking a dedicated and detail-oriented Healthcare Enrollment Specialist to join our team. This is a temporary-to-permanent position with the flexibility of working remotely.
Responsibilities:
Enrollment Assistance:
Client Communication:
Documentation and Record Keeping:
Bilingual Support (Preferred):
Compliance:
Problem Resolution:
Qualifications:
Benefits:
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0 Reimbursement Specialist - Healthcare jobs found in Long Beach, CA area