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)
Madison Memorial Hospital (MMH) is seeking to hire an analytical individual to ensure the organization is paid according to contract terms. Working under the direction of department leadreship the incumbent will be responsible for the chargemaster, payer contracting, and reviewing accounts for accuracy. The Reimbursement Specialist will complete all work in a manner that is keeping with the values, mission and vision statements of MMH.
Classification: Full time
Education:
Experience:
Required Skills:
Clear All
0 Reimbursement Specialist - Healthcare jobs found in Idaho Falls, ID area