Reimbursement Specialist - Healthcare jobs in Memphis, TN
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...
- 1 Day 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 ...
- 25 Days Ago
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...
- 18 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 ...
- 2 Months Ago
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 Memphis, TN area
Regional Business Manager, NPWT Gulf Coast
- Smith & Nephew
-
Memphis, TN
- Life Unlimited. At Smith+Nephew we design and manufacture technology that takes the limits off living. As a Regional Bus...
- 4/26/2024 12:00:00 AM
Farm Innovation Specialist
- Aglaunch
-
Memphis, TN
- About The Organization: As agriculture is fundamentally changing due to shifting consumer demands, climate change, and m...
- 4/26/2024 12:00:00 AM
Operations Supervisor
- Simco Electronics
-
Memphis, TN
- Position Overview Manage day-to-day operations of a work section of a commercial calibration and repair laboratory to me...
- 4/26/2024 12:00:00 AM
Senior Business Consultant, Internal Consulting Group
- First Horizon
-
Memphis, TN
- Location: On-site, Memphis TN Summary Provide strategic consulting, process improvement, and technology solutions to int...
- 4/25/2024 12:00:00 AM
Clinical Perfusionist (Open Continuous)
- Department of Veterans Affairs
-
Memphis, TN
- Summary This Clinical Perfusionist (CP) is under the Surgical/Cardiac Service of Memphis VA Medical Center. The incumben...
- 4/24/2024 12:00:00 AM
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED
- Department Of The Treasury
-
Memphis, TN
- Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
- 4/24/2024 12:00:00 AM
X Ray Technician Limited Scope
- Concentra
-
Memphis, TN
- Overview Up to $5000 sign on bonus!! Are you ready to take your career to new heights? At Concentra, you will be a vital...
- 4/24/2024 12:00:00 AM
Patient Access Referral Specialist I
- Regional One Health
-
Memphis, TN
- Summary: The Outpatient Patient Access Referral Specialist coordinates all patient referrals made by Providers to approp...
- 4/23/2024 12:00:00 AM
About Memphis, Tennessee
Memphis is a city located along the Mississippi River in southwestern Shelby County, Tennessee, United States. The 2017 city population was 652,236, making Memphis the largest city on the Mississippi River, second-largest city in Tennessee, as well as the 25th largest city in the United States. Greater Memphis is the 42nd largest metropolitan area in the United States, with a population of 1,348,260 in 2017. The city is the anchor of West Tennessee and the greater Mid-South region, which includes portions of neighboring Arkansas and Mississippi. Memphis is the seat of Shelby County, the most p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,210 to $51,290
Memphis, Tennessee 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?
Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
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