Reimbursement Specialist - Healthcare jobs in Binghamton, NY

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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RN MDS/Reimbursement Coordinator
  • Good Shepherd Communities
  • Binghamton, NY FULL_TIME
  • Good Shepherd Communities is looking for a RN to join our team as our MDS/Reimbursement Coordinator. 

    Benefits with Full-time employment include: Health, Dental, Vision, Paid Life Insurance, and Long Term Disability, 403(b), Paid Vacation, PTO, and Holidays.

    SIGN ON BONUS: $8000.00 total;

    After 30 Days= $2000.00

    After 90 Days= $2000.00

    After 180 Days= $2000.00

    After 270 Days= $2000.00

    Position Summary

    Responsible for MDS coordination. Medicare, determination, and ensuring compliance with all applicable policies and federal/state regulations. Facilitate QAPI. Track nursing department analytics.

    MDS/Reimbursement Coordinator Schedule:

    Monday- Friday 8am-4:30pm

    Expected to assist clinically as needed

    Nurse administration on-call rotation (paid at hourly rate)

    Essential Job Requirements

    Education: Graduate of an accredited School of Nursing 

    License: Active New York State RN license (Required)

    Qualifications:

    • Valid state certification as an MDS coordinator through a recognized organization, such as the AAPACN.
    • RNAC preferred (Registered Nurse Assessment Coordinator)
    • BLS and/or CPR certification preferred.
    • Must be 18 years of age.
    • Ability to read, write and speak the English language

    Experience: 

    • Experience as a MDS Coordinator and long term care.
    • This role also oversees our QAA/QAPI program so experience in Quality Assurance
    • A solid understanding of data collection, reporting, and analysis.
    • Proficiency in MDS 3.0 assessments and procedures.
    • A thorough understanding of medical-legal frameworks, such as the OBR Act of 1987.
    • The ability to draft and create thorough care plans for residents.
    • Exceptional communication and analytical skills.
    • An excellent work ethic and understanding of MDS procedures.
    • Superb organizational and interpersonal skills.
    • Patience and compassion.

    APPLY NOW!

  • 11 Days Ago

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Cath Lab Specialist
  • Ondek Healthcare
  • Elmira, NY CONTRACTOR
  • !!URGENT NEED FOR A CATH LAB SPECIALIST IN ROCHESTER, NY!! - A facility in Rochester, NY is looking for a Cath Lab Specialist for their Cardiac Cath Lab unit. - REQUIREMENTS: Minimum 2 years recent ex...
  • 1 Month Ago

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Cath Lab Specialist
  • Ondek Healthcare
  • Ithaca, NY CONTRACTOR
  • !!URGENT NEED FOR A CATH LAB SPECIALIST IN ROCHESTER, NY!! - A facility in Rochester, NY is looking for a Cath Lab Specialist for their Cardiac Cath Lab unit. - REQUIREMENTS: Minimum 2 years recent ex...
  • 1 Month Ago

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Treasury specialist
  • KPH Healthcare Services
  • Greene, NY FULL_TIME
  • Scope of Responsibilities : This position will report to the VP Financial Planning and Treasury ServicesWith a specific emphasis on corporate cash flow management, credit application and reviews, D & ...
  • 9 Days Ago

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Security Officer Healthcare - Corning, NY
  • Securitas Security Services
  • Horseheads, NY FULL_TIME
  • Now hiring: Security Officer in CORNING NY Schedule: shifts may run 7am to noon, or 1230pm to 630pm. We help make your world a safer place. Securitas is a global company that offers the most advanced ...
  • 2 Months Ago

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Food Service Worker Healthcare - Roscoe NY
  • Lucent Group
  • Roscoe, NY FULL_TIME,PART_TIME
  • Food Service Worker Healthcare Full-time and Part-time positions available! COVID-19 VACCINE NO LONGER REQUIRED!!! ***This position is eligible for New York Healthcare Worker Bonus! Join our Team toda...
  • 24 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Binghamton, NY area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Binghamton, NY
  • [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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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Cortland, NY
  • [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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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Ithaca, NY
  • [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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Travel CT Technologist - $2,481 per week
  • TRS Healthcare
  • Binghamton, NY
  • ARMStaffing is seeking a travel CT Technologist for a travel job in Binghamton, New York. Job Description & Requirements...
  • 4/17/2024 12:00:00 AM

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Travel CT Technologist - $2,321 per week
  • Hiring Now!
  • Binghamton, NY
  • Trustaff Allied is seeking a travel CT Technologist for a travel job in Binghamton, New York. Job Description & Requirem...
  • 4/17/2024 12:00:00 AM

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Travel CT Technologist - $2,388 per week
  • Stability Healthcare
  • Binghamton, NY
  • Trustaff Allied is seeking a travel CT Technologist for a travel job in Binghamton, New York. Job Description & Requirem...
  • 4/16/2024 12:00:00 AM

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Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
  • Western Express
  • BINGHAMTON, NY
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-8651 Real Miles. Real Money. Western Express has immed...
  • 4/14/2024 12:00:00 AM

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Class A CDL Truck Driver DRY VAN - HIRING IMMEDIATELY Up to $90K!
  • Western Express
  • BINGHAMTON, NY
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-7295 Real Miles. Real Money. Western Express has immed...
  • 4/14/2024 12:00:00 AM

Binghamton /ˈbɪŋəmtən/ is a city in, and the county seat of, Broome County, New York, United States. It lies in the state's Southern Tier region near the Pennsylvania border, in a bowl-shaped valley at the confluence of the Susquehanna and Chenango Rivers. Binghamton is the principal city and cultural center of the Binghamton metropolitan area (also known as Greater Binghamton, or historically the Triple Cities), home to a quarter million people. The population of the city itself, according to the 2010 census, is 47,376. From the days of the railroad, Binghamton was a transportation crossroads...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,426 to $52,768
Binghamton, New York area prices
were up 1.5% from a year ago

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