Reimbursement Specialist - Healthcare jobs in Tampa, 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)

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Field Reimbursement Specialist
  • Syneos Health Commercial Solutions
  • Tampa, FL FULL_TIME
  • Description

    You are an expert facilitator: you open doors, foster communication, and bridge the gap.

    In this role, you will be responsible for the management of defined accounts in a specified geographic region within the cardiac therapeutic area, specifically supporting our customer’s products. The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. You will:

    • Act as an extension of the call center and/or HUB and provide live one-on-one coverage support
    • Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
    • Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
    • Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge

    Essential Requirements:

    • Bachelor’s degree
    • 3 years’ experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales
    • Experience with specialty/biologic products
    • Demonstrated ability to educate offices on access processes

    Desired Requirements:

    • Cardiology experience

    At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

    Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

    Work Here Matters Everywhere | How are you inspired to change lives?

    Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

    Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
    At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

  • 10 Days Ago

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Field Reimbursement Specialist
  • Syneos Health Clinical
  • Tampa, FL FULL_TIME
  • Description You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the management of defined accounts in a specified geograp...
  • 12 Days Ago

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Healthcare Documentation Specialist
  • BayCare
  • Tampa, FL FULL_TIME
  • BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity ...
  • 17 Days Ago

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Healthcare Credit Resolution Specialist
  • United Vein & Vascular Centers
  • Tampa, FL FULL_TIME
  • Overview United Vein & Vascular Centers is a rapidly growing national healthcare organization specializing in state-of-the-art, minimally invasive surgical vein and vascular treatments. With numerous ...
  • Just Posted

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Healthcare Customer Service Specialist - Onsite
  • GetixHealth
  • Lakeland, FL FULL_TIME
  • This role is an early evening shift: 11am - 8pm Monday - Thursday, and 10am - 7pm Friday - Central Standard Time Please be CERTAIN you want this shift long-term. (There are no other shifts for this po...
  • 17 Days Ago

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Healthcare Credit Resolution Refund Specialist
  • United Vein & Vascular Centers
  • Tampa, FL FULL_TIME
  • Overview United Vein & Vascular Centers is a rapidly growing national healthcare organization specializing in state-of-the-art, minimally invasive surgical vein and vascular treatments. With numerous ...
  • 1 Month Ago

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0 Reimbursement Specialist - Healthcare jobs found in Tampa, FL area

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Battery Energy Storage Systems Electrical Engineer
  • Black & Veatch
  • Tampa, FL
  • **Battery Energy Storage Systems Electrical Engineer** Date: Mar 21, 2024 Location: Overland Park, KS, US Ann Arbor, MI,...
  • 3/28/2024 12:00:00 AM

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Registered Nurse
  • Florida Cancer Specialists, P.L.
  • Tampa, FL
  • Date Posted: 2023-12-28 Country: United States of America Location: Medical Park South Office WHY JOIN FCS At Florida Ca...
  • 3/28/2024 12:00:00 AM

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Infusion System Specialist I
  • B. Braun Medical Inc.
  • Tampa, FL
  • Overview About B. Braun B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures,...
  • 3/28/2024 12:00:00 AM

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Multi-Craft Technician
  • GAF Buildings Materials Corp. of America
  • Tampa, FL
  • Job Description: At GAF, we cover more than just buildings. We cover each other. Under this roof, you will have the tool...
  • 3/28/2024 12:00:00 AM

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Entry-Level Driller Assistant - Construction
  • Intertek
  • Tampa, FL
  • Driller Assistant - Construction PSI, an Intertek company, is searching for a Driller Assistant to join our Building & C...
  • 3/28/2024 12:00:00 AM

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Structural Engineer 5- Transmission Line- Tualatin, OR- Hybrid
  • Black & Veatch
  • Tampa, FL
  • **Structural Engineer 5- Transmission Line- Tualatin, OR- Hybrid** Date: Mar 4, 2024 Location: US Tualatin, OR, US Compa...
  • 3/26/2024 12:00:00 AM

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Structural Engineer 5- Substation- US Hybrid
  • Black & Veatch
  • Tampa, FL
  • **Structural Engineer 5- Substation- US Hybrid** Date: Mar 22, 2024 Location: US Company: Black & Veatch Family of Compa...
  • 3/25/2024 12:00:00 AM

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Drinking Water Process Engineer
  • Black & Veatch
  • Tampa, FL
  • **Drinking Water Process Engineer** Date: Feb 28, 2024 Location: Fort Worth, TX, US US Dallas, TX, US Company: Black & V...
  • 3/24/2024 12:00:00 AM

Tampa is a major city in, and the county seat of, Hillsborough County, Florida, United States. It is on the west coast of Florida on Tampa Bay, near the Gulf of Mexico, and is the largest city in the Tampa Bay Area. The bay's port is the largest in the state, near downtown's Channel District. Bayshore Boulevard runs along the bay, and is east of the historic Hyde Park neighborhood. Today, Tampa is part of the metropolitan area most commonly referred to as the "Tampa Bay Area". For U.S. Census purposes, Tampa is part of the Tampa-St. Petersburg-Clearwater, Florida Metropolitan Statistical Area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,121 to $52,397
Tampa, Florida area prices
were up 1.1% from a year ago

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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.
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