Reimbursement Specialist - Healthcare jobs in Orlando, FL
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
Reimbursement Collection Specialist I
- Axium Healthcare Pharmacy, Inc.
-
Lake, FL
FULL_TIME
- Company DescriptionAt Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we’ve been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.Job DescriptionThe Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards QualificationsQUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional InformationAll your information will be kept confidential according to EEO guidelines.
- 1 Month Ago
Reimbursement Specialist
- Unified Health Services LLC
-
Orlando, FL
FULL_TIME
- DescriptionJob Grade: 4Purpose of job:The Reimbursement Specialist is responsible for managing outstanding worker’s compensation claims by collecting payments, resolving billing issues, and minimizing...
- 2 Days Ago
Clinical Reimbursement Specialist
- Southeast Division
-
Altamonte Springs, FL
FULL_TIME
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient reco...
- 19 Days Ago
GRANT REIMBURSEMENT SPECIALIST
- Aspire Health Partners
-
ORLANDO, FL
FULL_TIME
- Grant Reimbursement Specialist Who are we? For over fifty years, Aspire Health Partners has been one of the leading non-profit behavioral health companies in the Southeast. Serving nearly 40,000 clien...
- 21 Days Ago
Home Healthcare Intake Specialist
- Acute Home Healthcare
-
Orlando, FL
FULL_TIME
- Acute Home Healthcare in Orlando, Fl. is dedicated to maximizing the quality of life for the geriatric population living in their homes whose healthcare needs require supervision. Our individualized a...
- 10 Days Ago
Healthcare Recruiting Specialist
- CareStaf
-
Orlando, FL
FULL_TIME
- CareStaf is seeking a dedicated and experienced Recruiting Specialist with a specialization in the healthcare field to join our contract recruiting team in Orlando, Florida. If you're a highly skilled...
- 7 Days Ago
Filters
- Current Active Filter
- Orlando, FL
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Reimbursement Specialist - Healthcare jobs found in Orlando, FL area
Senior Business Analyst-100% Fully Remote
- DataStaff, Inc.
-
Orlando, FL
- About the job DataStaff, Inc. is seeking a Senior Business Analyst for a long-term contract opportunity with one of our ...
- 4/26/2024 12:00:00 AM
Structural Engineering Designer
- Cuhaci Peterson®
-
Orlando, FL
- We recently asked a current Engineering Designer why he likes doing this job for CP and his answer was "I am enjoying wo...
- 4/26/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Southeast Division
-
Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/26/2024 12:00:00 AM
Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
- Avantax Planning Partners
-
Orlando, FL
- Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
- 4/26/2024 12:00:00 AM
Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
- Avantax Planning Partners
-
Orlando, FL
- Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
- 4/26/2024 12:00:00 AM
Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
- Avantax Planning Partners
-
Orlando, FL
- Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
- 4/26/2024 12:00:00 AM
Associate Director, Access & Reimbursement - Oncology - REMOTE
- Proclinical Staffing
-
Orlando, FL
- Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
- 4/25/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Life Care Centers of America
-
Altamonte Springs, FL
- Position Summary The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered t...
- 4/22/2024 12:00:00 AM
About Orlando, Florida
Orlando (/ɔːrˈlændoʊ/) is a city in the U.S. state of Florida and the county seat of Orange County. Located in Central Florida, it is the center of the Orlando metropolitan area, which had a population of 2,509,831, according to U.S. Census Bureau figures released in July 2017. These figures make it the 23rd-largest metropolitan area in the United States, the sixth-largest metropolitan area in the Southern United States, and the third-largest metropolitan area in Florida. As of 2015, Orlando had an estimated city-proper population of 280,257, making it the 73rd-largest city in the United State...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,750 to $51,947
Orlando, Florida area prices
were up 1.5% from a year ago
were up 1.5% 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