Reimbursement Specialist - Healthcare jobs in Allentown, PA

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

S
Regional Clinical Reimbursement Specialist (RCRS)
  • Saber Healthcare
  • Allentown, PA FULL_TIME
  • Caring is at the heart of everything! Working in long term care offers many rewards you can’t find anywhere else. From the relationships you develop to the sense of pride you feel when you help others, you can find it here! Come work for a team that goes the extra mile to make a difference in the lives of others!

    We offer everything you are looking for: On Demand Pay * Excellent PTO program * Great health plans * Employee Engagement Activities * Growth Opportunities *Company paid life insurance & much more!

    If you’re interested in making a difference in the healthcare field, explore the current job opportunities available. You’ll be able to make a difference in the lives of the residents as well as their families and friends.

    POSITION SUMMARY:
    As Regional Clinical Reimbursement Specialist, you are delegated the administrative authority and accountability necessary for carrying out your assigned duties. You are responsible for the functions of the reimbursement department at each facility in your region. This position assumes a primary role in RAI process.

    Qualifications/Responsibilities:
    • Must possess a current, unencumbered, active license to practice as a Registered Nurse or Licensed Practical Nurse in the state of employment.
    • Implements policies and procedure for Clinical Reimbursement in the Region
    • Monitors achievement of goals and objectives for the facility in regard to clinical assessments and reimbursement consistent with established philosophy and standards of practice
    • Monitors Quality Indicators and Quality Measures to ensure the appropriate information within the MDS assessments is accurately identified.
    • Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS.
    • Assure care planning and care conferencing is taking place according to the state and regulatory guidelines.
    • Schedules periodic site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department.
    • Provide in-service training and orientation to facility staff regarding the MDS, ADL’s and accuracy.
    Experience:
    • Must have proven leadership ability with a minimum of one (1) year of experience in nursing service administration.
    We strive to be the leader in the long-term care industry. It is our commitment to the care of the residents and staff that sets us apart from the rest. From the development of the Scratch Kitchens to the partnership with the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!

    Benefits and Perks*:
    • Eligible for benefits the first of the month following 30 days
    • Employer contribution and match for HSA (Health savings account)
    • Comprehensive benefit packages including medical, dental and vision
    • 401K through Fidelity
    • Paid Time Off (PTO)
    • Educational and tuition opportunities
    • Employee Assistance Program (EAP) with various discount programs offered
    • Wellness programs available through WebMD
    • Employee Recognition Programs
    • Making an IMPACT!
    • Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.
    We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, disability, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
  • 1 Month Ago
Apply this Job
M
Healthcare Recruiter
  • Maxim Healthcare Services
  • Allentown, PA FULL_TIME
  • Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
  • 3 Months Ago
Apply this Job
P
Life Skills Specialist
  • Pyramid Healthcare
  • Catasauqua, PA FULL_TIME
  • Pyramid Healthcare at Lehigh Valley is committed to offering comprehensive and robust treatment options to adults struggling with Substance Use Disorders. A focus on client-centered care establishes o...
  • 1 Month Ago
Apply this Job
C
Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Allentown, PA FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 30 Days Ago
Apply this Job
G
Healthcare Coordinator
  • Greenfield Senior Living
  • Schwenksville, PA FULL_TIME
  • Now Hiring: Healthcare Coordinator / Nurse - Senior LivingGreenfield Senior Living: In collaboration with our residents and care teams, we will transform the experience of senior living and allow our ...
  • 16 Days Ago
Apply this Job
N
Professional Healthcare Instructors
  • Northampton Community College
  • Bethlehem, PA FULL_TIME
  • The staff and faculty of Northampton Community College share a single goal: to help students transform their lives through education. It's a goal that reaps rewards thousands of times over the course ...
  • 1 Month Ago
Apply this Job
View All Reimbursement Specialist - Healthcare Jobs
Salary Company Skills How To Become Job Openings
Filters

Clear All
  • Filter Jobs by companies
  • More
Salary Company Skills How To Become Job Openings

0 Reimbursement Specialist - Healthcare jobs found in Allentown, PA area

C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Whitehall, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Bethlehem, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Macungie, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Reading, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Norristown, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Lansdale, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Pottstown, PA
  • [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
Apply this job
C
Data Entry Specialist (Work From Home)>
  • CareMetx
  • Stroudsburg, PA
  • [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
Apply this job
View All Reimbursement Specialist - Healthcare Jobs

About Allentown, Pennsylvania

Allentown (Pennsylvania Dutch: Allenschteddel) is a city located in Lehigh County, Pennsylvania, United States. It is Pennsylvania's third most populous city and the 231st largest city in the United States. As of the 2010 census, the city had a total population of 118,032 and is currently the fastest growing city in all of Pennsylvania. It is the largest city in the metropolitan area known as the Lehigh Valley, which had a population of 821,623 residents as of 2010[update]. Allentown constitutes a portion of the New York City Combined Statistical Area and is the county seat of Lehigh County. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$45,408 to $55,177
Allentown, Pennsylvania area prices
were up 1.5% from a year ago
View detail

What does a Reimbursement Specialist - Healthcare do?

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
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.
January 08, 2020