Reimbursement Specialist - Healthcare jobs in Wisconsin

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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Reimbursement Specialist – Pharmacy
  • UW Health
  • Madison, WI FULL_TIME
  • Work Schedule

    100% FTE; day shift. Monday – Friday. 8:00AM – 4:30PM. This is a hybrid position. When in the office, you will work at 7974 UW Health Ct in Middleton, WI. Hours may vary based on the operational needs of the department.

     

    Be part of something remarkable

     

    Join the #1 hospital in Wisconsin! 

     

    We are seeking a Reimbursement Specialist – Pharmacy to:

    • Be responsible for a portfolio of accounts receivable and oversee the billing cycle from charge review, claims submission, and follow-up. 
    • Be a task and detail oriented worker with the ability to work as a team, but in an independent work setting. 
    • Use knowledge of various databases and computer applications to complete program billing requirements as well as federal research billing rules, Medicare, and Medicaid.

     

    The ideal candidate would have knowledge of pharmacy and/or medical billing. Experience with Medicare billing highly preferred. 

     

    At UW Health, you will have:

    • An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. 
    • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
    • Access to UW Health’s Wellness Options at Work that support employee/family well-being.
    • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

     

    Education:

    Minimum –High School diploma or equivalent

    Preferred  Associate degree in Business, Finance, Health Information Management, or related field

     

    Work Experience:

    Minimum – Two years of experience in a healthcare revenue cycle or clinic operations role

    Preferred 

    • One (1) year pharmacy experience in a retail pharmacy setting

    • Epic experience

     

     

    Our Commitment to Diversity, Equity and Inclusion

    UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged.  EOE, including disability/veterans.

     

     

    UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others. 

     

     

    View Full Job Description

     

    UW Hospital and Clinics benefits

  • 10 Days Ago

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Reimbursement Specialist III
  • Hanger, Inc.
  • Milwaukee, WI FULL_TIME
  • Reimbursement Specialist III Job ID 2024-27320 # Positions 1 Job Location US Telecommute Regional Remote Position FT/PT Full-Time Category Medical Office Professionals Why Us? With a mantra of Empower...
  • 17 Days Ago

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Clinical Reimbursement Specialist
  • Key Rehabilitation
  • Milwaukee, WI FULL_TIME
  • Overview MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist. A minumum ...
  • 2 Months Ago

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Regional Clinical Reimbursement Specialist - Full-Time Exempt
  • North Shore Health Care, LLC
  • Milwaukee, WI FULL_TIME
  • #LI-AS1 Trust, engagement, competence, respect and passion – these are the values under which North Shore Healthcare operates every day. Our dedicated team of professionals strive to deliver quality c...
  • 30 Days Ago

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Regional Reimbursement Specialist (Regional MDS Director)
  • Champion Care
  • Milwaukee, WI FULL_TIME
  • Due to our recent growth we are currently interviewing for a Regional Reimbursement Specialist to add to our team in Southeastern WI! At Champion Care, we are driven by a noble mission: to deliver unp...
  • 2 Months Ago

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Healthcare Purchasing & Process Specialist
  • Renew
  • UNKNOWN, WI FULL_TIME
  • Full job descriptionOverview:The Healthcare Purchasing & Process Specialist oversees all pharmacy and laboratory vendors, medication purchasing, and internal logistics. This role is responsible for pr...
  • 8 Days Ago

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Reimbursement Specialist
  • Planned Parenthood Mar Monte
  • San Jose, CA
  • Reimbursement SpecialistFull-TimeHybrid/Remote ESSENTIAL DUTIES Review Government and Non-Government Payer claims for ac...
  • 6/2/2024 12:00:00 AM

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Senior Reimbursement Specialist
  • Northwest Georgia Oncology Centers, PC
  • Marietta, GA
  • Job Description Job Description Busy oncology practice has an immediate opening for a Senior Reimbursement Specialist. P...
  • 6/2/2024 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...
  • 5/31/2024 12:00:00 AM

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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

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Reimbursement Specialist
  • Nemours Children's Health
  • Jacksonville, FL
  • Job Description Nemours is seeking Reimbursement Specialist (Full-Time), to join our team in Jacksonville, Florida. This...
  • 5/31/2024 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...
  • 5/29/2024 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 ...
  • 5/29/2024 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...
  • 5/29/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,606 to $54,205

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