Reimbursement Specialist - Healthcare jobs in Pennsylvania
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
Regional Clinical Reimbursement Specialist (RCRS)
- Saber Healthcare
-
Allentown, PA
FULL_TIME
-
Caring is at the heart of everything! Working in long term care offers many rewards you can’t find anywhere else. From the relationships you develop to the sense of pride you feel when you help others, you can find it here! Come work for a team that goes the extra mile to make a difference in the lives of others!
We offer everything you are looking for: On Demand Pay * Excellent PTO program * Great health plans * Employee Engagement Activities * Growth Opportunities *Company paid life insurance & much more!
If you’re interested in making a difference in the healthcare field, explore the current job opportunities available. You’ll be able to make a difference in the lives of the residents as well as their families and friends.
POSITION SUMMARY:
As Regional Clinical Reimbursement Specialist, you are delegated the administrative authority and accountability necessary for carrying out your assigned duties. You are responsible for the functions of the reimbursement department at each facility in your region. This position assumes a primary role in RAI process.
Qualifications/Responsibilities:
- Must possess a current, unencumbered, active license to practice as a Registered Nurse or Licensed Practical Nurse in the state of employment.
- Implements policies and procedure for Clinical Reimbursement in the Region
- Monitors achievement of goals and objectives for the facility in regard to clinical assessments and reimbursement consistent with established philosophy and standards of practice
- Monitors Quality Indicators and Quality Measures to ensure the appropriate information within the MDS assessments is accurately identified.
- Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS.
- Assure care planning and care conferencing is taking place according to the state and regulatory guidelines.
- Schedules periodic site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department.
- Provide in-service training and orientation to facility staff regarding the MDS, ADL’s and accuracy.
- Must have proven leadership ability with a minimum of one (1) year of experience in nursing service administration.
Benefits and Perks*:
- Eligible for benefits the first of the month following 30 days
- Employer contribution and match for HSA (Health savings account)
- Comprehensive benefit packages including medical, dental and vision
- 401K through Fidelity
- Paid Time Off (PTO)
- Educational and tuition opportunities
- Employee Assistance Program (EAP) with various discount programs offered
- Wellness programs available through WebMD
- Employee Recognition Programs
- Making an IMPACT!
- Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.
- 1 Month Ago
Regional Clinical Reimbursement Specialist (RCRS)
- Saber Healthcare
-
Philadelphia, PA
FULL_TIME
- Caring is at the heart of everything! Working in long term care offers many rewards you can’t find anywhere else. From the relationships you develop to the sense of pride you feel when you help others...
- 1 Month Ago
Reimbursement Specialist
- ZOLL LifeVest
-
Pittsburgh, PA
FULL_TIME
- Location: Pittsburgh, PA, United States of America Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies th...
- 5 Days Ago
Reimbursement Specialist
- Zoll Medical Corporation
-
Pittsburgh, PA
FULL_TIME
- Reimbursement Specialist Location: Pittsburgh, PA, United States of America Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide i...
- 12 Days Ago
Reimbursement Specialist
- Synergy Orthopedics
-
Plymouth Meeting, PA
FULL_TIME
- Job Description Job Description Objective : The Reimbursement Specialist will be expected to follow up on open claims and maintain patient information. The individual will also process denials and app...
- 26 Days Ago
Market Clinical Reimbursement Manager
- Genesis HealthCare
-
Kennett, PA
FULL_TIME
- POSITION SUMMARY: The Case Manager is responsible to ensure the collaborative process of assessment, planning, facilitation and advocacy for options and services to meet the patient's health needs thr...
- Just Posted
Reimbursement Specialist - Healthcare jobs at Popular Companies
Healthcare Reimbursement Specialist
- LogixHealth
-
Bedford, MA
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Specialist at LogixHealth, you will wo...
- 4/22/2024 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
Healthcare Reimbursement Specialist
- Logixhealth
-
Bedford, MA
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Specialist at LogixHealth, you will wo...
- 4/22/2024 12:00:00 AM
Coding and Reimbursement Specialist
- Howard University
-
Washington, DC
- The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic...
- 4/22/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule:Mon-Fri 9am-5pm (2 days remote after training) Salary:$23.00-$25.00 / hour The Reimbursement Specialist is char...
- 4/21/2024 12:00:00 AM
AR Reimbursement Specialist
- Crestwood Behavioral Health
-
Stockton, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/20/2024 12:00:00 AM
Clinical Reimbursement Specialist
- Bluebird Staffing
-
- REQUIRED 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures Credential - CIRCC, RHIA/RHIT...
- 4/19/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
- 4/19/2024 12:00:00 AM
About Pennsylvania
Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east.
Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,958 to $54,629
Most Popular Cities in Pennsylvania for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019