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)
The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers.
Primary Tasks, Duties and Responsibilities :
Position Requirements :
Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network.
Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care.
Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm.
Participation in the seasonal influenza program is a condition of employment and a requirement for all Empath Health employees.
Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!
Last updated : 2024-04-23
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