Reimbursement Specialist - Healthcare jobs in Saginaw, MI

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)

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REIMBURSEMENT ANALYST
  • Covenant HealthCare
  • Saginaw, MI FULL_TIME
  • REIMBURSEMENT ANALYST(Job Id 18865)


    Location
    US:MI:SAGINAW
    Category
    PROFESSIONAL
    Employment Type
    EMPLOYEE

    Post Date
    01/17/2024
    Close Date

    Description


    Covenant HealthCare

    US:MI:SAGINAW
    8:00 AM - 4:30 PM, MONDAY - FRIDAY
    FULL TIME BENEFITED


    Summary:


    The Reimbursement Analyst assists reporting, audit support, accounting, analysis, revenue opportunities, and systems related to third party payors. Prepares reporting to assist Revenue Cycle leadership for accounts receivable and billing denial management. Facilitate charge capture monitoring.

    The Reimbursement Analyst demonstrates excellent customer service performance in that his/her attitude and actions are at all time consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Extraordinary Care for Every Generation.


    Responsibilities:


    Assists in preparation of cost reports and interim reporting for Medicare, Medicaid, and Blue Cross payors.
    Prepares reporting used in financial statement net revenue, net patient accounts receivable, and third party receivables on all open year.
    Prepares reconciliations for monthly financials statements and audits. Provides support for audit requestes.
    Prepares monthly revenue cycle reporting and billing denial management reporting.
    Assists revenue cycle managers with analysis.


    Other information:

    EDUCATION/EXPERIENCE
    Required: Bachelor’s Degree or equivalent in Business, Finance, or other related field.
    Prior finance experience preferred
    Health care experience preferred
    KNOWLEDGE/SKILLS/ABILITIES
    Proficient in computer applications including EPIC EMR, Microsoft Excel, Word, and Outlook.
    Excellent oral and written communication skills.
    Detail oriented approach to problem solving.
    Strong analytical skills needed to compile information, summarize, draw conclusions from financial and statistical data.
    Demonstrated organizational skills.
    Sound judgment in handling confidential or sensitive issues and material.
    Project a positive and energetic image.

    WORKING CONDITIONS/PHYSICAL DEMANDS
    Ability to maintain punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards.
    Frequent standing, walking, sitting, twisting, reaching, handling, feeling, talking, hearing, near vision, midrange vision, far vision, depth perception and visual accommodation.
    Frequent color vision, field of vision.
    Occasional lifting up to 25 lbs.
    Occasional lifting, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching and squatting.


    NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR EMPLOYMENT.

    It has been determined that Covenant HealthCare cannot provide a latex safe or latex free work environment at any of its facilities. Unfortunately, that means that any individual, including an applicant or an employee, is likely to be exposed to latex while on Covenant’s premises. Therefore, latex tolerance is considered to be an essential function for any position with Covenant.

  • 12 Days Ago

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In Store Assembly Technician
  • Apollo Retail Specialist
  • Petoskey, MI PART_TIME
  • Can’t stand being stuck behind a desk? Like working solo? Good with your hands? We have the perfect job for you as a Service Technician! Go store to store and work independently to keep the furniture ...
  • 21 Days Ago

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SUPPLY SPECIALIST - OR
  • Covenant HealthCare
  • Saginaw, MI FULL_TIME
  • SUPPLY SPECIALIST - OR(Job Id 19194) Location US:MI:SAGINAW Category SERVICE Employment Type EMPLOYEE Post Date 03/18/2024 Close Date Description Covenant HealthCare US:MI:SAGINAW VARIABLE SHIFT FULL ...
  • 7 Days Ago

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Orientation and Mobility Specialist (O&M)
  • EDU Healthcare
  • Bad Axe, MI FULL_TIME
  • Job #: 410713 Location: Located in Bad Axe, MI Seeking passionate O&M Specialists with an interest in providing school-based services to preschool and school-age patients. We need an O&M Specialist to...
  • 10 Days Ago

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CLAIMS & INSURANCE SPECIALIST
  • Covenant HealthCare
  • Saginaw, MI FULL_TIME
  • CLAIMS & INSURANCE SPECIALIST(Job Id 18832) Location US:MI:SAGINAW Category PROFESSIONAL Employment Type EMPLOYEE Post Date 01/10/2024 Close Date Description Covenant HealthCare US:MI:SAGINAW DAY SHIF...
  • 16 Days Ago

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Referral Specialist
  • Catalyst Healthcare Staffing Group
  • Flint, MI FULL_TIME,TEMPORARY
  • Healthcare facility in Flint, Michigan is looking for a Referral Specialist for an in office position. Monday- Friday 8am-5pm Job duties include but are not limited to: Ensures referrals are made for ...
  • 12 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Saginaw, MI area

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Lead Clin Doc Specialist
  • Covenant Healthcare
  • Saginaw, MI
  • Covenant HealthCare US:MI:SAGINAW DAY SHIFT FULL TIME BENEFITED Summary: The Lead Clinical Documentation Specialist demo...
  • 3/29/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $1,786 per week
  • PRN Healthcare
  • Saginaw, MI
  • Trustaff is seeking a travel nurse RN Telemetry for a travel nursing job in Saginaw, Michigan. Job Description & Require...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner/physician Assistant: Medical Oncology
  • Covenant Healthcare
  • Saginaw, MI
  • Covenant HealthCare US:MI:SAGINAW FULL TIME BENEFITED Summary: The NP will function in a supervised and independent capa...
  • 3/28/2024 12:00:00 AM

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Registered Nurse Specialist - Clinical Documentation Improvement
  • Ascension
  • Saginaw, MI
  • Details Department: ACO Operations / Accountable Care Organization Schedule: Full-time days, Monday - Friday, 8a - 5p Ho...
  • 3/26/2024 12:00:00 AM

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Medical Support Assistant (Advanced)
  • Department of Veterans Affairs
  • Saginaw, MI
  • Summary This position is located in The Business Office at the Aleda Lutz VA Medical Center in Saginaw, MI. The Advanced...
  • 3/26/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Saginaw, MI
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 3/26/2024 12:00:00 AM

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Entrepreneurial Agency Owner
  • AAA-The Auto Club Group
  • Saginaw, MI
  • AAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join ou...
  • 3/25/2024 12:00:00 AM

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Travel Pharmacist - $3,522 per week
  • Stability Healthcare
  • Saginaw, MI
  • LanceSoft is seeking a travel Pharmacist for a travel job in Saginaw, Michigan. Job Description & Requirements Specialty...
  • 3/25/2024 12:00:00 AM

Saginaw (/ˈsæɡɪnɔː/) is a city in the U.S. state of Michigan and the seat of Saginaw County. The city of Saginaw and Saginaw County are both located in the area known as Mid-Michigan or Central Michigan. The city of Saginaw is located adjacent to Saginaw Charter Township and is considered part of the Tri-City area, along with neighboring Bay City and Midland. The Saginaw County MSA had a population of 196,542 in 2013. The city is also the largest municipality within the Saginaw, Midland, and Bay City Metropolitan Area. The city of Saginaw was a thriving lumber town in the 19th century and an i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,460 to $51,593
Saginaw, Michigan area prices
were up 1.3% from a year ago

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