Reimbursement Specialist - Healthcare jobs in Abilene, TX

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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Regional Reimbursement Nurse
  • Creative Solutions in Healthcare
  • Brownwood, TX FULL_TIME
  • We’re seeking a Regional Reimbursement Nurse to add to our growing team!  This position will cover long-term care facilities in and around the Brownwood and San Angelo areas. 

    Reliability, trustworthiness and consistency with regard to attendance is extremely important to this job. The ability to regularly and timely attend work, cooperative and politely work and deal with others, and to effectively multi-task and work in a stressful environment are also essential functions to this job.

    Benefits:

    • Health/Dental/Vision Insurance
    • Ancillary policies including AD&D, STD, Cardiac, Cancer, Critical Illness, Hospital Confinement
    • Whole and Term Life Insurance
    • Tuition Reimbursement
    • Paid Time Off
    • Immediate 401(k)
    • Unparalleled Corporate Support

    Responsibilities:

    • Support Facility Staff :Schedules residents for appropriate admission, annual, quarterly, Medicare assessment or change-of-condition assessments, overseeing communication to nursing and other departments.
    • Assures compliance with Federal and State regulations regarding completion/coordination of the comprehensive assessment (MDS).
    • Monitors MDS and care plan documentation on all residents, assuring that complete, orderly chronological and current documentation is in file.
    • Maintains proficiency in software.
    • Coordinate and attends regular Medicaid meetings to discuss current residents, pending residents and recipients.
    • Coordinate and attends all ITTM meetings in order to gather information, communicate changes, maintain and update the clinical records including the Care plan.
    • Performs care plan updates as needed.
    • Provide DON, Administrator and pertinent staff with the Quality Indicators Report.
    • Perform transmissions of the MDS on a timely basis.
    • Remains current with changes in the industry through attendance at outside workshops and conferences.
    • Perform Ancillary management, collection and reporting to corporate billing personnel.

    Requirements:

    • Licensed Nurse in good standing.
    • Geriatric nursing background.
    • Restorative care philosophy, excellent professional skill (both assessment and hands-on and good communication and organization skills).
    • Working knowledge of nursing home regulations.
    • Ability to work independently as well as a meaningful member of the team.
    • Excellent organizational skills in order to coordinate many projects simultaneously.

    We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    #COR123

  • 24 Days Ago

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Coding Reimbursement Specialist
  • Shannon Health
  • San Angelo, TX FULL_TIME
  • Job Summary Assigns appropriate diagnosis/procedure codes based on clinical information contained in the patient’s medical record. Assigns appropriate ICD-10-CM, CPT and HCPCS codes as appropriate. Ed...
  • 1 Month Ago

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Dental Assistant
  • Specialist periodontist
  • Abilene, TX FULL_TIME
  • Periodontal practice in Abilene, TX is seeking a registered dental assistant. Candidate must be experienced in taking digital radiographs and have proficient computer skills. Willing to help with fron...
  • 21 Days Ago

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Reimbursement Representative
  • Hendrick Health
  • Abilene, TX FULL_TIME
  • JOB SUMMARY Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbu...
  • 5 Days Ago

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Reimbursement Coordinator
  • Hendrick Health
  • Abilene, TX FULL_TIME
  • JOB SUMMARY The Reimbursement Coordinator is responsible for the posting of all cash receipts performed manually, and monitoring all electronic fund transfers and posting from electronic remittances. ...
  • 1 Month Ago

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Certified Coding Reimbursement Analyst
  • Shannon Health
  • San Angelo, TX FULL_TIME
  • Job Summary Under general supervision, codes and abstracts clinical information from the electronic patient record. Assigns appropriate ICD-10-CM and ICD-10-PCS codes as appropriate. Education Educati...
  • 1 Month Ago

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0 Reimbursement Specialist - Healthcare jobs found in Abilene, TX area

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Medical Coder-Outpatient
  • The Arora Group
  • Abilene, TX
  • Medical Coder-Outpatient Admin Currently recruiting an ON-SITE Medical Coder-Outpatient in Abilene, Texas to provide sup...
  • 4/19/2024 12:00:00 AM

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Guest Services Specialist- Starting at $13/hr plus tips!
  • Mister Car Wash Inc.
  • Abilene, TX
  • **Guest Services Specialist- Starting at $13/hr plus tips!** TX-0291, 4002 Buffalo Gap Rd., Abilene, Texas, United State...
  • 4/19/2024 12:00:00 AM

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Dialysis Dietitian
  • Fresenius Medical Care
  • Abilene, TX
  • About this role: As a Dietitian with Fresenius Medical Care, you will be a valuable member of the interdisciplinary team...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $2,028 per week
  • Triage Staffing
  • Abilene, TX
  • Triage Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Abilene, Texas.Job Description & Requ...
  • 4/19/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Abilene, TX
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/18/2024 12:00:00 AM

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Commercial Sales Manager
  • AutoZone, Inc.
  • Abilene, TX
  • The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM dev...
  • 4/18/2024 12:00:00 AM

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Sales Associate - Store 273
  • Conn's, Inc.
  • Abilene, TX
  • Join the Conn's HomePlus Team! Discover Our Benefits * Competitive Pay: Kickstart your journey with a blend of guarantee...
  • 4/17/2024 12:00:00 AM

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Sales Associate - Store 273
  • Conn's
  • Abilene, TX
  • Job Description Join the Conn's HomePlus Team! Discover Our Benefits Competitive Pay: Kickstart your journey with a blen...
  • 4/15/2024 12:00:00 AM

Abilene is located in northeastern Taylor County. The city limits extend north into Jones County. Interstate 20 leads east 149 miles (240 km) to Fort Worth and west 148 miles (238 km) to Midland. Three U.S. highways pass through the city. US 83 runs west of the city center, leading north 24 miles (39 km) to Anson and south 55 miles (89 km) to Ballinger. US 84 runs with US 83 through the southwest part of the city but leads southeast 52 miles (84 km) to Coleman and west with I-20 40 miles (64 km) to Sweetwater. US 277 follows US 83 around the northwest side of the city and north to Anson but he...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,273 to $48,936
Abilene, Texas area prices
were up 1.2% from a year ago

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You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
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MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
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