Reimbursement Specialist - Healthcare jobs in Oklahoma City, OK
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
Revenue Cycle Reimbursement Specialist
- the Chickasaw Nation
-
Ada, OK
FULL_TIME
-
Revenue Cycle Reimbursement Specialist - 2871FeaturedAda, OK | Health | Full TimePosted 3 days ago | Apply before March 15, 2024ApplySave
Description
We are currently looking for a Full Time Revenue Cycle Reimbursement Specialist to join our Health Revenue Billing and Accounts Receivable Team team located at the Chickasaw Nation Medical Center working .
Summary:
Initiates collection efforts on claims for timely payments.Responsibilities:
- Provides first class customer service - courteous and helpful to all internal and external customer types
- Greets and engages with a smile
- Determines and meets needs
- Seeks positive experience and outcomes
- Answers questions in a courteous and professional manner
- Partners with internal and external services as needed to ensure appropriate referral is made
- Completes all training and development requirements and participates in continuing education opportunities
- Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
- Shares responsibilities for maintaining adequate supplies and equipment
- Maintains general upkeep of work area and maintains a safe environment
- Observes and addresses potential environmental hazards and risks
- Maintains and promotes professionalism
- Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
- Adheres to Chickasaw Nation dress code standards
- May provide break coverage for others as assigned
- May augment staff in other areas as needed based on staffing and needs ratio in regularly assigned unit
- Maintain knowledge of and follow all laws, rules, regulations, policies and SOPs for assigned area, e.g. MICS, TICS, hospital standards, health codes, food sanitation, accounting principles, etc.
- Researches missing information needed to submit a clean claim
- Traces all claims to payers to ensure that claims are being paid in a timely manner
- Follows up with insurance carriers on denied/rejected claims to work with carrier for resolution on claim
- Interacts with third parties to resolve billing issues
- Maintains confidentiality, security, and integrity of data and information in accordance with HIPAA regulations
- May require to be cross trained in multiple areas as assigned
- All other duties as assigned
Competencies:
Essential:
- Follow instructions, written or oral
- Adhere to all scheduling and attendance requirements
- Honesty, truthfulness, reliability, accountability
- Read, understand and apply regulations and policies
- Possess basic knowledge of medical terminology
- Applied knowledge of national coding guidelines
- Verbal with team, departments, guests and management
- Written with team, departments, guests and management
- Maintains clear and complete employee health records
Skills:
Essential:
- Intermediate skill using Excel for multiple purposes
- Must be familiar with the MS Office Suite of products
- Must be able to operate related office equipment
Experience:
Nonessential:
- 1 year directly related experience
Education:
Essential:
- High School, GED or Equivalent
Credentials:
Essential:
- Pass general background check
Working Conditions:
Essential:
- Works in an office setting
- Pass pre-employment drug test
- Sometimes bend, kneel, stoop, push, reach
- Constantly lift and or carry up to 10 lbs
- Sometimes lift and or carry up to 25 lbs
- Sitting up to 100% of shift
- Walk up to 25% of shift
- 5 Days Ago
Revenue Cycle Reimbursement Specialist
- the Chickasaw Nation
-
Ada, OK
FULL_TIME
- Revenue Cycle Reimbursement Specialist - 2871 Featured Ada, OK | Health | Full Time Posted 3 days ago | Apply before March 15, 2024 ApplySave Description We are currently looking for a Full Time Reven...
- 5 Days Ago
Clinical Reimbursement Specialist RN or LPN
- Stonegate Senior Living
-
Oklahoma, OK
FULL_TIME
- Clinical Reimbursement Specialist RN or LVN StoneGate Senior Living Oklahoma City, OK StoneGate Senior Living in Oklahoma City, OK is hiring a Clinical Reimbursement Specialist, RN or LPN StoneGate Se...
- 6 Days Ago
Healthcare Safety Specialist
- SSM Health
-
Oklahoma, OK
FULL_TIME
- It's more than a career, it's a calling.OK-SSM Health St. Anthony Hospital - Oklahoma CityWorker Type:RegularJob Highlights:At SSM our mission and values put the patient first and help you to feel val...
- 19 Days Ago
Healthcare Recruiter - HR Specialist
- Principle Choice Solutions LLC
-
Oklahoma, OK
FULL_TIME
- PRINCIPLE CHOICE SOLUTIONSHR Specialist - Clinical RecruiterWho We Are: Principle Choice Home Health partners with patients and families to provide comprehensive care in a compassionate atmosphere. We...
- 1 Month Ago
Auto Body Painter
- Johnson's Collision Specialist
-
Norman, OK
FULL_TIME
- Now taking applications experienced auto body painter.Must be ready to workMust have dependable transportationMust have 5 years experienceSign On Bonus Available*High School Diploma or EquivalentSerio...
- 30 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Oklahoma City, OK area
Data Entry Specialist (Work From Home)>
- CareMetx
-
Edmond, OK
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Yukon, OK
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/23/2024 12:00:00 AM
Lead Electrical Engineer - Substation Design and Power Electronics (STATCOM/FACTS/HVDC) - US Hybrid
- Black & Veatch
-
Oklahoma City, OK
- **Lead Electrical Engineer - Substation Design and Power Electronics (STATCOM/FACTS/HVDC) - US Hybrid** Date: Apr 8, 202...
- 4/23/2024 12:00:00 AM
Medical Assistant I, II- Bilingual Required
- Variety Care, Inc.
-
Oklahoma City, OK
- Department : Clinical Position : Medical Assistant I - Bilingual Employee Category : Non-Exempt Reporting Relationship :...
- 4/23/2024 12:00:00 AM
Electrical Lead - Power System Studies/Water/Wastewater - Phoenix, AZ US- Hybrid
- Black & Veatch
-
Oklahoma City, OK
- **Electrical Lead - Power System Studies/Water/Wastewater - Phoenix, AZ US- Hybrid** Date: Apr 19, 2024 Location: US Pho...
- 4/23/2024 12:00:00 AM
Dentist
- Gentle Dental
-
Midwest City, OK
- Gentle Dental is searching for a full time General Dentist position in Midwest City, OK. Up to $20,000 sign on bonus, an...
- 4/22/2024 12:00:00 AM
RESEARCH & DEVELOPMENT PRODUCT DEVELOPMENT SPECIALIST (OKLAHOMA CITY, OK)
- Oklahoma Blood Institute
-
Oklahoma City, OK
- START YOUR CAREER WHILE SAVING LIVES Location: Oklahoma City, OK Pay: Competitive pay based on education and/or experien...
- 4/22/2024 12:00:00 AM
BCBA Sr Director Clinical Services / Clinical Director - $10K Sign-On or Relocation - Oklahoma City, OK (Midwest City)
- Behavioral Innovations
-
Oklahoma City, OK
- Overview: We're hiring for an experienced BCBA to become our Sr. Director of Clinical Services in Oklahoma City, Oklahom...
- 4/21/2024 12:00:00 AM
About Oklahoma City, Oklahoma
Oklahoma City lies along one of the primary corridors into Texas and Mexico, and is a three-hour drive from the Dallas-Fort Worth metroplex. The city is in the Frontier Country region in the center of the state, making it an ideal location for state government.
According to the United States Census Bureau, the city has a total area of 620.34 square miles (1,606.7 km2), of which 601.11 square miles (1,556.9 km2) is land and 19.23 square miles (49.8 km2) is water.
Oklahoma City lies in the Sandstone Hills region of Oklahoma, known for hills of 250 to 400 feet (120 m) and two species of oak: blac...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,128 to $49,976
Oklahoma City, Oklahoma area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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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