Reimbursement Specialist - Healthcare jobs in Bridgeport, CT
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Insurance Reimbursement Specialist
- Aspira Women's Health
-
Trumbull, CT
FULL_TIME
-
Job Title: Insurance Reimbursement SpecialistAs an Insurance Reimbursement Specialist, you will work with insurance and billing companies to process medical reimbursements for patients. Your primary job duties include interacting with patients, managing financial documents, transcribing medical records, communicating with insurance providers, and assisting with other administrative tasks. To be successful in this role, you need strong analytical, communication, and organizational skills.
Department: Billing
Reports To: Manager of RCM
Location: Trumbull, CT
Terms: Full-time (40 hours)
Requirements: Monday-Friday, 8-hour shift
POSITION SUMMARY
ESSENTIAL FUNCTIONS- Responsible for submission of appeals to national payers
- Provide review of all levels of an insurance appeal
- Gather supporting documentations (physician medical records, patient /physician letters etc.)
- Work incoming correspondence from payors to assist with claim appeal
- Interact with utilization review/management departments
- Maintain absolute file integrity specific to content, location, and confidentiality
- Provide excellent customer service via the handling of inbound and outbound calls/emails to patients and providers
PERFORMANCE MEASURES- Review claim denials within 1 week of posting to determine next step for accession
- Submit request to provider for necessary documentation for appeal- follow up on requests within 2 weeks if not received.
- Submit accessions for adjustments per Patient Transparency Program guidelines and document accession to reflect need for adjustment accurately
- Follow up with plans when trends of nonpayment or incorrect payment is received per contracts
- Utilize portals/fax/USPS to submit appeals for claim review when necessary. USPS should be last resort if portal/Fax unavailable
- Provide payor status updates when issues arise to leadership
- Review Sfax for documentation relating to payor groups daily
- Review correspondence at the time of working denials to verify if we received essential information for the claim.
- Provide response to patient and client emails/voicemails within 24 business hours of receipt and document account appropriately
- Productivity based on accuracy and quality
- Maintain a positive, achievement-oriented attitude and influence others to do the same
- Demonstrate high ethical standards and personal integrity
- Display a commitment to personal growth
- Adherence to schedule
MINIMUM QUALIFICATIONS- College degree preferred or equivalent but will substitute for applicable work experience
- Minimum two (2) years’ experience in healthcare accounts receivable environment; knowledge of medical terminology, billing, and coding a plus
- Demonstrate proficiency in Microsoft Word and Excel
- Adhere to Medicare, Medicaid Compliance and HIPAA guidelines in relation to PHI information
KNOWLEDGE, SKILLS, AND ABILITIES- Exceptional analytical and organizational skills
- Ability to work independently, a team player with strong interpersonal skills to effectively interact with all levels of employees
- Superior time management and critical thinking skills
- Ability to work under pressure and achieve goals efficiently
- Strong written and verbal communication skills
- Dependable, flexible, and adaptable in all aspects of work
SUPERVISORY RESPONSIBILITES- No direct supervisory responsibilities
- 9 Days Ago
Accounts Receivable Reimbursement Specialist
- Orthopaedic Specialty Group
-
Shelton, CT
FULL_TIME
- JOB SUMMARY: Ability to identify reimbursement trends. Follows up on rejected claims and under payments using Practice Management software and Explanation of Benefit forms. Builds and maintains relati...
- 1 Month Ago
Billing Specialist Insurance & Medicare Reimbursement (Full-time)
- Jewish Senior Services
-
Bridgeport, CT
FULL_TIME
- Summary: Responsible for collecting, posting and managing account payments. Responsible for billing and tracking Medicare A/B and Insurance Accounts. Reports To: Supervisor, Accounts Receivable Titles...
- 1 Month Ago
Surgical Scheduler / Prior Authorizations Specialist- Neurosurgery
- Hartford HealthCare Medical Group Specialists
-
Bridgeport, CT
FULL_TIME
- Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday -Friday Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to ...
- 16 Days Ago
Healthcare Technology Sales Executive
- Saisystems Health
-
Shelton, CT
FULL_TIME
- Saisystems Health is eagerly looking for an experienced and energetic Sales Executive to join our team! Be part of one of THE BEST PLACES TO WORK and apply today! The ideal candidate represent Saisyst...
- 3 Days Ago
Healthcare Operations Manager
- DAVITA
-
Trumbull, CT
FULL_TIME
- 7 Cambridge DrSuite 105, Trumbull, Connecticut, 06611-4763, United States of America DaVita is a dynamic, growing and entrepreneurial company. We are seeking an ambitious, operationally-focused and re...
- 12 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Bridgeport, CT area
Graduate Nurse (RN) / Float Pool
- Hiring Now!
-
Bridgeport, CT
- Description Job Schedule: Full Time Standard Hours: 36 Job Shift: Shift 3 Shift Details: 36-hour night Graduate Nurse po...
- 4/25/2024 12:00:00 AM
Registered Nurse (RN) / Acute Rehab
- Hartford Healthcare
-
Bridgeport, CT
- Description Job Schedule: Part Time Standard Hours: 24 Job Shift: Shift 3 Shift Details: 24 hour night position. Must wo...
- 4/25/2024 12:00:00 AM
Registered Nurse (RN) / Ortho Neuro
- Hiring Now!
-
Bridgeport, CT
- Description Job Schedule: Part Time Standard Hours: 32 Job Shift: Shift 3 Shift Details: Night shift (11p-730a), four 8 ...
- 4/25/2024 12:00:00 AM
Physician Assistant or Nurse Practitioner - Critical Care Services
- Hiring Now!
-
Bridgeport, CT
- Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon-Sun Nurse Practitioner and ...
- 4/25/2024 12:00:00 AM
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
- Department Of The Treasury
-
Bridgeport, CT
- Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
- 4/24/2024 12:00:00 AM
Nurse Preceptor (RN, Registered Nurse, Education) - HomeCare
- Hartford Healthcare
-
Bridgeport, CT
- Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: M-F with some weekend coverage ...
- 4/23/2024 12:00:00 AM
Field Application Specialist - HammerHead
- The Toro Company
-
Bridgeport, CT
- Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
- 4/23/2024 12:00:00 AM
Registered Nurse (RN) / Critical Care (Per Diem)
- Hartford HealthCare
-
Bridgeport, CT
- Description Job Schedule: Per Diem Standard Hours: 1 Job Shift: Shift 1 Shift Details: per diem Start here at St. Vincen...
- 4/22/2024 12:00:00 AM
About Bridgeport, Connecticut
Bridgeport is a historic seaport city in the U.S. state of Connecticut. It is in Fairfield County, at the mouth of the Pequonnock River on Long Island Sound, 60 miles from Manhattan and 40 miles from The Bronx. It is bordered by the towns of Trumbull to the north, Fairfield to the west, and Stratford to the east.
As of 2017, Bridgeport had an estimated population of 146,579, which made it the largest city in Connecticut and the fifth-most populous in New England. The Greater Bridgeport area is the 48th-largest urban area in the United States.
The showman P. T. Barnum was a resident of the cit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$51,039 to $62,019
Bridgeport, Connecticut area prices
were up 1.7% from a year ago
were up 1.7% from a year ago
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