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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The Provider Benefit Verification Specialist II will be primarily responsible for managing benefit verification and prior authorization processing. This position is responsible for supporting customers throughout the reimbursement journey and ensuring access to coverage in a timely manner. Primary job responsibilities are:
Other Skills/Abilities:
Preferred Education and Experience
Physical Activities
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Physical Demands
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0 Reimbursement Specialist - Healthcare jobs found in Brockton, MA area