Reimbursement Specialist - Healthcare jobs in Hawaii
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 Analyst
- Kaiser Permanente
-
Wailuku, HI
OTHER
-
Job Summary:
The Reimbursement Analyst will be responsible for preparing the monthly contractual allowances for all payors and prepare analyses for month-end close meetings. The Reimbursement Analyst will be assisting in the annual contractual budget and forecasting processes. The Reimbursement Analyst will maintain and work with auditors in validating information as reported on the financial statements. The analyst should have a proficient knowledge of federal and state rules and regulations.
Essential Responsibilities:- Prepares the calculation of Accounts Receivable and reserves for all payors including the timely submission of the monthly journal entry.
- Prepares all contractual allowance percentages from zero balance account data.
- Prepares trend reports and analyses of charges, payments and contractual allowance and explain significant variances.
- Assists in the annual contractual budget and forecasting process.
- Assists with the annual financial audit.
- Reviews payor contract rates and ensures timely update of contract provisions in the EPIC contract management system.
- Perform reviews of over and under payments based on expected reimbursement to amounts allowed by payors.
- Researches root-cause for issues arising from the monthly AR valuation.
- Performs interim-month reviews of patient accounts and evaluate impact on month-end AR valuation.
- Work with Patient Financial Services to determine impact of billing operations to AR valuation.
- Work with revenue cycle staff to acquire data regarding payment, denials and other related data as it relates to AR valuation.
- Prepares logs and data needed for the preparation of Medicare and Medicare cost reports and interim reviews.
- Prepares Medicaid logs that match the Medicaid cost report in the required format in a timely manner.
- Prepares various financial analyses as requested by management.
- Maintains current working knowledge of Medicare, Medicaid and other regulations.
- Prepares and analyzes financial data for opportunities.
- Attends staff meetings, designation mandatory meetings, and completes annual competency testing.
- 25 Days Ago
Laboratory specialist
- Sonic Healthcare
-
Aiea, HI
FULL_TIME
- Job Functions, Duties, Responsibilities and Position Qualifications : Quality is in our DNA is it in yours? You’ve got a passion for patient care. You’re personable, professional, and confident that n...
- 11 Days Ago
Billing specialist
- Sonic Healthcare
-
Hilo, HI
FULL_TIME
- Job Functions, Duties, Responsibilities and Position Qualifications : Quality is in our DNA; is it in yours? You are a superhero when it comes to revenue cycle management. You’ve got problem-solving i...
- 20 Days Ago
Insurance Specialist
- Xtend Healthcare
-
Kealakekua, HI
FULL_TIME
- Overview: We are seeking a dedicated Insurance Specialist to join our team. The ideal candidate will will be responsible for review and resolution of outstanding insurance balances on hospital or phys...
- 2 Months Ago
Revenue Reimbursement Analyst
- LHH
-
Wailuku, HI
FULL_TIME
- LHH Recruitment Solutions is seeking a dedicated Reimbursement Analyst to join our team in Maui, Hawaii. The Reimbursement Analyst will be responsible for preparing the monthly contractual allowances ...
- 3 Days Ago
Reimbursement Analyst - MMMC - Day 40hrs
- Kaiser Permanente
-
Wailuku, HI
FULL_TIME
- Job SummaryThe Reimbursement Analyst will be responsible for preparing the monthly contractual allowances for all payors and prepare analyses for month-end close meetings. The Reimbursement Analyst wi...
- 5 Days Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description Provides mission critical support to company brands by helping patients ...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description The Reimbursement Specialist will be responsible for providing support a...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Synergy Orthopedics
-
Plymouth Meeting, PA
- Job Description Job Description Objective: The Reimbursement Specialist will be expected to follow up on open claims and...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
East Hanover, NJ
- Job Description Job Description Title: Reimbursement Specialist 1 Duration: 6 months Pay Rate : $27.50/hr on W2 Location...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist- Collections
- BMR Partners Inc
-
Orange, CA
- Job Type Full-time Description The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 6/8/2024 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...
- 6/8/2024 12:00:00 AM
Reimbursement Specialist
- University Health System- San Antonio
-
San Antonio, TX
- POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbu...
- 6/8/2024 12:00:00 AM
About Hawaii
Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean.
The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$47,288 to $57,463
Most Popular Cities in Hawaii 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