Reimbursement Specialist - Healthcare jobs in Bradenton, FL

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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Reimbursement specialist
  • Empath Health
  • Bradenton, FL FULL_TIME
  • 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 :

    • Continuously works with rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Insurance providers.
    • Properly document accounts clearly and status activity.

    Position Requirements :

    • Associates Degree with one year previous Home Health billing related experience preferred or an equivalent combination of professional experience and education may be considered as meeting the Education / Professional requirements
    • Demonstrated experience in general healthcare billing practices and collections
    • Wellsky (Kinnser) experience strongly preferred.
    • Accurately perform mathematical computations and audit data to detect errors.
    • Ability to work well within a team environment and manage assigned tasks with limited supervisory support
    • Strong interpersonal, communication and customer service skills.
    • Experience in collections with Medicaid, Managed Care / Insurance and Private payers preferred
    • Knowledge and familiarity with medical terminology
    • Strong PC skills, including proficiency in Microsoft Office Suite, database applications and medical billing applications.

    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

  • Just Posted

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Home Health Reimbursement Specialist
  • Hospice
  • Bradenton, FL FULL_TIME
  • The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers. Pri...
  • Just Posted

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Home Health Reimbursement Specialist
  • Empath Health
  • Bradenton, FL FULL_TIME
  • The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers. Pri...
  • Just Posted

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Remote Onboarding Specialist
  • Healthcare Support Staffing, Inc
  • Bradenton, FL OTHER
  • Remote Onboarding Specialist HealthCare Support is actively seeking a Remote Onboarding Specialist to fill an opening with a well-know and highly rated Closed-Door Specialty Pharmacy! Daily Responsibi...
  • 5 Days Ago

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Healthcare Admin Secretary
  • Fresenius Medical Care
  • Bradenton, FL FULL_TIME
  • PURPOSE AND SCOPE:The Secretary/ Receptionist performs general clerical support and office duties for the department and its Management.PRINCIPAL DUTIES AND RESPONSIBILITIES:Performs basic administrat...
  • 1 Day Ago

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Healthcare Security Officer-Taser
  • Allied Universal
  • Bradenton, FL FULL_TIME
  • Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workpl...
  • 12 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Bradenton, FL area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Pinellas Park, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/25/2024 12:00:00 AM

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Groomer
  • Pet Supermarket
  • Bradenton, FL
  • Location: Bradenton, Florida At our Pet Supermarket Grooming Tails Salon, the mission is to provide Pet Parents with the...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Sarasota, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Tampa, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Clearwater, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Saint Petersburg, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Brandon, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Dunedin, FL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

Bradenton (/ˈbreɪdəntən/ BRAY-dən-tən) is a city in Manatee County, Florida, United States. The U.S. Census Bureau estimated the city's 2016 population to be 54,437. Bradenton is a principal city of the North Port–Sarasota–Bradenton metropolitan statistical area, which had a 2017 estimated population of 702,281. It is the county seat....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$42,660 to $51,837
Bradenton, Florida area prices
were up 1.5% from a year ago

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