Average Salary for Jobs with Reimbursement Processing Skills

Directs healthcare claims processing operations to ensure accurate, timely, and compliant adjudication and payment of medical claims. Oversees managers and supervisors responsible for claims intake, adjudication, and reimbursement functions. Develops operational strategy, productivity standards, and quality controls to meet financial and service objectives. Manages budgets, staffing, and vendor re... View job details

Examines and adjudicates medical insurance claims to determine eligibility, coverage, and appropriate reimbursement in accordance with plan provisions. Reviews medical documentation, coding, and billing information to verify accuracy and medical necessity. Assesses benefit plans, fee schedules, and regulatory guidelines to calculate and authorize payments. Investigates discrepancies, coordinates w... View job details

Examines and adjudicates medical insurance claims to determine eligibility, coverage, and appropriate reimbursement in accordance with plan provisions. Reviews medical documentation, coding, and billing information to verify accuracy and medical necessity. Assesses benefit plans, fee schedules, and regulatory guidelines to calculate and authorize payments. Investigates discrepancies, coordinates w... View job details

Responsible for handling facility rate setting and contract development for hospitals and health systems within a provider network. Prepares, analyzes, and reviews complex financial models to project the cost impact of proposed contract terms, rate structures, and reimbursement methodologies. Negotiates, drafts, and executes individual contracts with hospitals and health systems, ensuring terms ar... View job details

Responsible for handling facility rate setting and contract development for hospitals and health systems within a provider network. Prepares, analyzes, and reviews complex financial models to project the cost impact of proposed contract terms, rate structures, and reimbursement methodologies. Negotiates, drafts, and executes individual contracts with hospitals and health systems, ensuring terms ar... View job details