Reimbursement Specialist - Healthcare jobs in Maryland

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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Vice President of Reimbursement and Operational Finance, Healthcare
  • CommuniCare Family of Companies
  • Baltimore, MD FULL_TIME
  • Vice President, Reimbursement and Operational Finance

    CommuniCare Health Services is a fast-growing provider of long-term care with over 130 facilities located in 7 states. Due to current growth, we are recruiting for a Vice President of Reimbursement and Operational Finance.

    The Vice President of Reimbursement and Operational Finance reports to the Chief Operating Officer and also has a strong dotted line to the CFO. The position will be responsible to prepare and present forecasts and recommendations to senior operations leadership based upon opportunities and changes in State Medicaid payment programs. 

    Estimated Pay: $160k/annually

    Responsibilities:

    • Operational Forecasting- preparation and analysis of forecasts
    • Internal Reporting- Key role in the accumulation of data and the formation of divisional financial forecasts.
    • Strategic Analysis- Financial/strategic analyses on issues affecting operations
    • Valuations/Analysis- Provide comprehensive analyses and summaries on business decisions
    • Analyze expenditure trends relative to payment methodologies and detail cost benefit opportunities
    • Distill report metrics into findings and recommendations for operations leadership

    Qualifications:

    • Bachelor's degree in Finance or Accounting; CPA or Master's degree a plus
    • 5 years of experience in a Finance / Reimbursement role with a LTC company
    • Advanced Excel, Microsoft Office products, Workday / Prism forecasting software preferred
    • Position requires strong presentation skills
    • Ability to set objectives and work in a collegial manner with other staff

    As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

     

     

  • Just Posted

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Reimbursement Specialist, Day Shift, Patient Financial Services
  • Support Center - Shared Services
  • Center, MD FULL_TIME
  • Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Reimbursement Special...
  • 10 Days Ago

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Reimbursement Specialist, Day Shift, Patient Financial Services
  • Support Center - Shared Services
  • Gaithersburg, MD FULL_TIME
  • Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Reimbursement Special...
  • 11 Days Ago

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Principal Healthcare Data Analytics Specialist - Remote | WFH
  • Get It Recruit - Healthcare
  • Bowie, MD FULL_TIME
  • OverviewAs a Senior Healthcare Data Analytics Specialist, your primary responsibility will be to lead and implement the design of data acquisition, transformation, and analytical modeling of clinical ...
  • 9 Days Ago

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PRN Training Specialist - Healthcare
  • Networks Connect Professional Staffing
  • Silver Spring, MD PART_TIME
  • Job Description:Networks Connect is conducting a search on behalf of our client, a prominent healthcare system, for a PRN Training Specialist. As a Training Specialist, you will be instrumental in enh...
  • 2 Days Ago

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Healthcare Billing Specialist
  • Latitude Inc.
  • Catonsville, MD INTERN,FULL_TIME
  • Overview:We are seeking a highly organized and detail-oriented Healthcare Billing Specialist to join our team. As a Healthcare Billing Specialist, you will play a crucial role in ensuring accurate med...
  • 4 Days Ago

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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

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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

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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

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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

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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

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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

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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

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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

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$46,655 to $56,693

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