Reimbursement Specialist - Healthcare jobs in Appleton, WI

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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Healthcare Specialist
  • Stericycle Inc
  • Oshkosh, WI FULL_TIME
  • At Stericycle, we deliver solutions and drive innovations that protect the environment, people, and public health. This includes working to create a more sustainable, shared future. Our innovative solutions make a difference in people's lives, communities, and our planet by protecting their health and well-being. Change your career. Change your world. Join Stericycle and help protect health and well-being in a safe, responsible, and sustainable way.

    Position Purpose:

    The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe and efficient handling and processing of all Waste Streams contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a productive and profitable manner. * This position requires the candidate to live locally in Oshkosh, WI *

    Key Job Activities:

    •    Monitors the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and reviewing invoices for accuracy. Identifies and executes ways to reduce costs while still fulfilling contractual obligations
    •    Provides strategic consultative resources to hospital staff to assist them in managing all contracted waste streams in a safe and compliant manner. Serve as the primary liaison in managing all contracted waste streams
    •    Provides expert knowledge as needed on each of the regulations associated with the waste streams being managed (i.e., EPA, DOT, DEA, and any other state or local regulations)
    •    Conduct Survey for customers identifying compliance gaps and waste segregation opportunities utilizing the Virtual Compliance Partner application
    •    Project manage implementation of new compliance-based services including the tracking, coordinating, and communication of schedules and expectations to internal and external customers. Develop and deliver customized training for the implementation and maintenance of the contract
    •    Regularly schedule and complete customer-facing activity with focus on service satisfaction, building relationships, and identifying ways to improve operational efficiencies and profitability
    •    Perform other duties and responsibilities, as assigned

    Experience:

    •    Bachelor’s Degree preferred, with experience in healthcare discipline preferred, or the equivalent in related work experience, demonstrating detailed knowledge of OSHA and/or EPA-RCRA and/or U.S. DOT, and/or The Joint Commission Standards
    •    3 years of experience in the healthcare industry, or the equivalent in related work experience, demonstrating excellent working knowledge of medical waste issues and the healthcare industry, and consultative skills to effectively deal with customers. Candidate is confident with public speaking duties

    •    Demonstrates the ability to work well with others, and provide excellent customer service, both internally and externally
    •    Demonstrates the ability to identify and understand customer needs; takes appropriate actions to ensure customer needs are met while also meeting Stericycle expectations
    •    Demonstrates the ability to present ideas/information in a clear, concise, organized, and diplomatic manner; asks appropriate questions to obtain information; listen to others to respond effectively to ideas and questions. Presents prepared information to groups in a manner that is clear & concise, holds their interest, and addresses their needs or concerns. 
    •    Always demonstrates a professional work ethic and professional appearance
    •    Independent, self-motivated who can meet goals and objectives that have been outlined by Senior Team. Demonstrates time management skills, working in an autonomous environment

    Benefits:

    Stericycle currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare and dependent care flexible spending accounts, life and accidental death and dismemberment insurance, an employee assistance program, tuition reimbursement, paid vacation and sick time, a 401(k) plan, and an employee stock purchase plan. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Stericycle.

    Disclaimer:

    The above description is meant to provide a summary of the nature and level of work being performed; it should not be construed as an exhaustive list of all responsibilities, duties and requirements of the job.  This document does not create an employment contract, implied or otherwise.  Stericycle will consider requests for workplace accommodations for protected physical or mental limitations in accordance with its human resources policies and local laws.  To the extent permissible under local law, and consistent with business necessity, Stericycle reserves the right to modify the content formally or informally, either verbally or in writing, at any time with or without advance notice.


    It is the policy of Stericycle, as an equal opportunity/affirmative action employer, to hire the best qualified people available without regard to race, creed, color, sex, sexual orientation, marital status, age, national origin or ancestry, religion, status with regard to public assistance, order of protection status, disability, or veteran status.

     

  • 1 Month Ago

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Healthcare - Clinical Study Specialist IV
  • Pyramid Consulting, Inc
  • Neenah, WI CONTRACTOR,FULL_TIME
  • Immediate need for a talented Healthcare - Clinical Study Specialist (Part time). This is a 10 Months (3days/week) 30 hrs/week Contract opportunity with long-term potential and is located in Neenah, W...
  • 8 Days Ago

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Healthcare Driver
  • Carepool
  • Appleton, WI FULL_TIME
  • Would you like to help individuals with special needs, developmental disabilities or the aging population integrate better into society? That’s our goal at Carepool. Healthcare Driver roles are flexib...
  • 2 Days Ago

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Healthcare Driver
  • Carepool
  • Stevens, WI FULL_TIME
  • Healthcare Drivers needed, use your own car to make money while helping others! We have created a transportation platform for people with disabilities and the aging population. Work on your own schedu...
  • 2 Days Ago

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Healthcare Driver
  • Carepool
  • London, WI FULL_TIME
  • Healthcare Drivers needed, use your own car to make money while helping others! We have created a transportation platform for people with disabilities and the aging population. Work on your own schedu...
  • 9 Days Ago

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Healthcare Driver
  • Carepool
  • Oshkosh, WI FULL_TIME
  • Would you like to help individuals with special needs, developmental disabilities or the aging population integrate better into society? That’s our goal at Carepool. Healthcare Driver roles are flexib...
  • 9 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Appleton, WI area

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Licensed Beauty Advisor
  • Sephora
  • Appleton, WI
  • Job ID: 239303 Store Name/Number: WI-Appleton (0670) Address:4301 West Wisconsin Ave, Appleton, WI 54913, United States ...
  • 4/26/2024 12:00:00 AM

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Warehouse Teammate Returns - Appleton
  • Werner Electric
  • Appleton, WI
  • ** Warehouse Teammate Returns - Appleton** **Job Category****:** Operations **Requisition Number****:** WAREH001192 Show...
  • 4/26/2024 12:00:00 AM

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Cath Lab Technician - Traveler
  • Ascension
  • Appleton, WI
  • Details Weekly Rates: $2612 - $3651 Department: Associate Travel Program - Cardiac Cath Lab Or IR Schedule: Multiple Shi...
  • 4/25/2024 12:00:00 AM

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Assistant Electrical Project Manager
  • Faith Technologies Incorporated (FTI)
  • Menasha, WI
  • Faith Technologies, a division of Faith Technologies Incorporated (FTI), is an energy expert and national leader in elec...
  • 4/25/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,335 per week
  • Hiring Now!
  • Appleton, WI
  • Travel Nurses, Inc. is seeking a travel nurse RN Med Surg for a travel nursing job in Appleton, Wisconsin. Job Descripti...
  • 4/24/2024 12:00:00 AM

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Travel Rehabilitation RN (Registered Nurse) in Neenah, WI - 686091
  • Medical Solutions
  • Neenah, WI
  • $1833.17-$2034.62 wk (includes wage of ~$18.64-$24.24/hr and per diems if eligible) click for benefits and other job det...
  • 4/24/2024 12:00:00 AM

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Care Manager - Appleton (Hybrid)
  • Lakeland Care, Inc.
  • Appleton, WI
  • Job Type Full-time Description Culture Highlights! Telework environment - work where it's most convenient, home, office,...
  • 4/23/2024 12:00:00 AM

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Technician Specialist
  • Gibraltar Industries Inc
  • Appleton, WI
  • Summary: The main goal of the production technician specialist is to identify and diagnose machinery issues to maintain ...
  • 4/22/2024 12:00:00 AM

Appleton is a city in Outagamie (mostly), Calumet, and Winnebago counties in the U.S. state of Wisconsin. One of the Fox Cities, it is situated on the Fox River, 30 miles (48 km) southwest of Green Bay and 100 miles (160 km) north of Milwaukee. Appleton is the county seat of Outagamie County. The population was 72,623 at the 2010 census. Of this, 60,045 were in Outagamie County, 11,088 in Calumet County, and 1,490 in Winnebago County. Appleton is the principal city of the Appleton, Wisconsin Metropolitan Statistical Area, which is included in the Appleton-Oshkosh-Neenah, Wisconsin Combined Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,651 to $53,042
Appleton, Wisconsin area prices
were up 1.3% from a year ago

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