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)
Description
Reimbursement Specialist
Come join the SMC team! We offer competitive wages and excellent benefits. We will train and orientate selected applicant.
Benefits paid 100% for the employee.
We also offer
Reimbursement specialist is responsible for submitting billing, responding to patient/customer concerns, implementing collection proceedings on past due accounts, research and refunding of overpayments.
Qualifications: High School diploma or equivalent. Must have excellent communication skills, great customer services skills, and organizational skills. Previous experience in the medical field preferred.
Requirements
Qualifications: High School diploma or equivalent. Must exhibit professionalism, excellent patient care and communication.