Reimbursement Specialist - Healthcare jobs in Nebraska
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
Registration & Reimbursement Specialist - 40 hrs/wk, Monday - Friday
- Madonna Rehabilitation Hospital System
-
Lincoln, NE
FULL_TIME
-
**Job Title: Inpatient Registrar & Reimbursement Specialist
Job Location: Lincoln
Immediate Supervisor: Inpatient Access Manager
Status: Non-exempt**
**JOB OVERVIEW**
Responsible for the efficient and orderly registration of inpatient admissions for Madonna business lines. Obtains and completes patient demographic information, consents and authorizations and ensures patients are aware of financial responsibility. Other responsibilities include maintaining referral inquiries, typing, word processing, faxing, photocopying for the department. Ability to prioritize, organize and effectively handle multiple tasks and interruptions in a positive manner. Proficient in the use of the Registration Application of AFFINITY, add information to Sunrise, and scan medical records to appropriate folders. Responsible for verifying, recording, and revising financial payer information for all inpatients. Consults, advises, and assists the Inpatient Access Manager and Director Access & Reimbursement in providing leadership and direction in planning and coordinating customer access.
**ESSENTIAL FUNCTIONS**
(INFORMATION)
1. Computes and records the Medicare benefit days used and available for all Medicare Part A recipients for accurate Medicare billing.
2. Verifies Medicaid and Medicare eligibility for all inpatient programs to determine primary payor source and third-party liability coverage, then communicates with Nurse liaison via email.
3. Identify admissions that are related to a motor vehicle accident and/or fall information to complete the Accident Questionnaire and record in EMR.
4. Responsible for acquiring all Accident Report Forms. Understands and operationalizes admission policy and procedures.
5. Obtains and enters required demographic information into the computer system prior to the patients admission. Verifies accuracy and generates an admission record in a timely fashion.
6. Investigates and communicates third party liability coverage to appropriate staff.
7. Monitors daily admissions, transfers, and discharges, consulting Drs., room account changes and appropriately records transactions in the computer system.
8. Enters daily activity on the Intranet and calls appropriate staff with changes in the activity and confirm in Sunrise.
9. Coordinates the receipt of the ID Screen for patients in the Subacute/SNF program. (Lincoln Only)
10. Saves clinical information sent in by Nurse Liaisons in the I Drive/Clinical Document folder.
11. Updates patient demographic and financial information to ensure complete and accurate files.
12. Enter all required information upon notification of an in house transfer.
13. Contact by phone family/next of kin for verbal Consent to Treat if unable to obtain by patient.
14. Mail Certified Mail out to family to validate verbal consent.
15. Periodically update patient demographic and scan into Sunrise.
16. Registration process for Outpatient Laboratory.
17. Registration process for Outpatient Radiology. (Lincoln Only)
(PEOPLE)
1. Collaborates and communicates with others effectively and professionally to insure successful and efficient outcomes both internally and externally.
2. Interviews and registers incoming patients and/or family of the patient in person or via telephone prior to admission.
3. Escorts patients and families to their assigned rooms. Patients arriving by ambulance are escorted to their rooms by ambulance personnel.
4. Maintains patient confidentiality. Follows facility protocols in communicating and releasing patient information.
5. Answers telephone quickly and courteously as needed.
6. Receives, greets and directs patients and visitors in a positive and conscientious manner.
7. Follows instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department as well as within the facility.
8. Communicates with various outside sources to obtain and/or verify necessary demographic, financial and liability information.
**QUALIFICATIONS**
High school equivalency and one year relevant work experience preferred. Experience is to consist of any of the following: medical registration, and insurance processing/collection. Demonstrated ability within a related position at Madonna may be considered in lieu of one year relevant experience. Must have working knowledge of personal computers and Microsoft office programs such as (Word, Access, Outlook, Excel, etc.), and office machines. Must have excellent communication and organizational skills with the ability to problem solve. Must be able to work in demanding situations without adverse reaction and interact in a positive manner with staff and public, either in person or via telephone.
Licenses
You must have the following licenses to apply:
- 13 Days Ago
Entry Level Sales and Marketing
- Genesis Global Specialist
-
Omaha, NE
FULL_TIME
- Genesis Global is looking for an ambitious, driven individual to take on our Marketing/Sales Coordinator. We will provide hands-on training for the right candidate as well as the opportunity to advanc...
- 17 Days Ago
Healthcare Recruiter
- Triage Staffing | Healthcare Staffing
-
Omaha, NE
FULL_TIME
- You crave the thrill of the chase, are driven by the satisfaction of crushing goals, and have never met a stranger. Sound familiar?We're looking for Recruiters to join us in rewriting the playbook on ...
- 16 Days Ago
Food Service Specialist
- Brodstone Healthcare
-
Superior, NE
FULL_TIME
- JOB SUMMARY: To prepare and serve all food for patients, organization staff, visitors. Part time or Full time employment available.EDUCATION:GED Or High School Diploma (Preferred)EXPERIENCE:Previous c...
- 1 Day Ago
Information Entry Specialist- Hybrid
- RM Healthcare
-
Lincoln, NE
OTHER
- We are seeking a detail-oriented and highly organized individual to join our team as an Information Entry Specialist. In this role, you will be responsible for accurately and efficiently entering data...
- 1 Month Ago
Intake Specialist West Omaha
- Kubat HealthCare
-
Omaha, NE
FULL_TIME
- Do you enjoy helping patients and customers by providing exceptional access to care and compassionate service? Come work with us as an Intake Specialist! In this role, you will obtain prior authorizat...
- 1 Month Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
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
- 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
- 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
- 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
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description Provides mission critical support to company brands by helping patients ...
- 6/7/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
East Hanover, NJ
- Job Description Job Description Job title: Reimbursement Specialist Address: East Hanover, New Jersey - 07936 Contract: ...
- 6/7/2024 12:00:00 AM
Billing & Reimbursement Specialist
- Innovative Renal Care
-
Beverly, MA
- Billing and Reimbursement Specialist The Billing and Reimbursement Specialist is assigned a group of dialysis facilities...
- 5/31/2024 12:00:00 AM
About Nebraska
The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,627 to $51,799
Most Popular Cities in Nebraska 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