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)
St. Ambrose University seeks a dynamic and results-driven Business Development Manager to spearhead the recruitment efforts for our healthcare programs, including a prominent online nursing program. The successful candidate will be adept at employing both a business-to-consumer and business-to-business approach forging and maintaining fruitful relationships with corporate, not-for-profit, and government entities to achieve business development goals. This role is crucial in expanding the reach and impact of our healthcare programs, particularly the online nursing program.
Minimum of Bachelor's degree in either Business, Marketing, Healthcare Administration, or a related field. Master's degree preferred. Minimum of 3-5 years of experience in business development, sales, or marketing, preferably in the education or healthcare sector. Candidate should have a proven track record in developing business relationships and meeting or exceeding targets. Must have excellent communication, negotiation, and interpersonal skills in addition to strong understanding of the healthcare industry and educational program promotion. Will need to have the ability to travel as part of recruiting activities and be proficient in using CRM software and digital marketing tools. St. Ambrose University is an independent, comprehensive, and Catholic diocesan university firmly grounded in the liberal arts and is committed to fostering a respectful environment that recognizes and embraces diversity among all students, faculty, and staff. As an equal opportunity institution, St. Ambrose actively seeks applications from members of underrepresented groups. Position is open until filled. Estimated start date to be July 1, 2024. Please apply at https://stambroseuniv.applicantlist.com and upload a cover letter, resume, and contact information for three professional references. EOE
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