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)
At Riverwood Center we have a team of caring and committed professionals providing a wide array of personalized services to individuals with behavioral health, intellectual & developmental disabilities and substance use disorders. Riverwood Center is located in beautiful Southwest Michigan with staff at seven sites across Berrien County. We are accredited by the Commission on Accreditation of Rehabilitation Facilities and a member of Southwest Michigan Behavioral Health, Michigan Association of Community Mental Health Boards, and the National Council for Behavioral Health.
Benefits:
Responsibilities:
Qualifications:
Job Type: Full-time
Clear All
0 Reimbursement Specialist - Healthcare jobs found in Benton Harbor, MI area