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)
Established and rapidly growing medical practice seeks certified medical assistant to join its team of dedicated healthcare professionals.
Work Hours: 40 hours per week (Monday through Thursday).
Under the supervision of the Physician or Nurse Practitioner,
This position requires candidate to work collaboratively with the healthcare team to assess, coordinate and implement patient care; to communicate effectively with the on-site physicians, referring physicians, nurse practitioners, and administrative staff; and to ensure continuity of care for the patient so that the patient's medical needs are met.