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)
Benefits:
Calling all number crunchers and balanced-budget superstars! We are currently seeking an organized and detail-oriented individual to join the Edgewood Home Office team as an Accounting Specialist.
This is an 8:00am-5:00pm Monday-Friday position. The ideal candidate will work remotely, residing in either North Dakota or northern Minnesota. Candidate must be able to travel to Grand Forks, ND several times per year for trainings and required meetings.
In this role at Edgewood, you would be responsible for preparation and accuracy of Accounts Payables and Accounts Receivables for various Edgewood communities across seven states. You would also assist with the preparation of monthly, quarterly, and year-end reports and maintain communication with our Edgewood community managers and administrative staff.
Qualifications:
Edgewood offers of employment are contingent upon passing a background check and drug screen.
About Edgewood:
Edgewood Healthcare has been providing outstanding care and services for seniors since 1992. We offer senior living solutions in more than 60 beautiful communities across seven states in the Midwest.
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