Reimbursement Specialist - Healthcare jobs in Madison, WI

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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REIMBURSEMENT ANALYST SUPPORT
  • Fort Healthcare Inc
  • Fort Atkinson, WI FULL_TIME
  • Fort HealthCare is a patient-centered hospital and healthcare system serving individuals, businesses and families in Jefferson, Dane, and Walworth Counties, and we are seeking a Reimbursement Analyst Support to join our Patient Financial Services team.

    Shift:
    Full time
    80 hours per bi-weekly pay period
    Day shift

    Fort HealthCare is proud to be recognized by Modern Healthcare, a national health care publication, as one of the "Best Places to Work" as well as being named a 13-time award winner of the Milwaukee Journal/Sentinel Top Workplace award for Southeastern Wisconsin and a 3-time award winner of the USA Top Workplace award. In addition, Fort HealthCare is proud to be recognized by Chartis, a healthcare consulting firm, as one of the “Top 100 Rural & Community Hospitals” in the United States.

    Our Mission Statement is our daily guide to provide the best health care possible. We promote it widely for all we serve to read, understand and to help our public hold us accountable for the promises we make.

    Our Mission Statement - Improve the Health and Well-being of Our Community

    Our Vision Statement provides each of us at Fort HealthCare with a goal. It is our motivation to improve constantly upon the level of care we provide, and the quality of services delivered.

    Our Vision - Be the Healthiest Community in Wisconsin.

    We offer competitive pay and benefits, education, and resources you need to perform your job and ample opportunities for professional growth.

    Reimbursement Analyst Support - Data analysis, reimbursement analysis and communication are key to identify opportunities for improvement in the financial and revenue cycle domain. Works directly with the Patient Financial Services Manager to ensure that data collected is valid and accurately represented.

    Responsibilities of this position include:

    • Monitors and analyzes data within Revenue Cycle. Develops and maintains skills in data collection, reimbursement analysis, and communication.
    • Maintains in depth knowledge of FHC providers and service lines.
    • Works in conjunction with Reimbursement Analyst to research, review and audit functions on charges and reimbursements as needed.
    • Assists with the annual price increase calculations and forecasting process.
    • Works in conjunction with Patient Financial Services Manager to prepare Revenue Cycle Dashboard.
    • Works in conjunction with EDI Team Lead to reconcile credit card reconciliation.
    • Prepares Good Faith Estimates
    • Review and post invoices
    • Net Receipt file and reconciliation.
    • Completes department-specific orientation and annual competencies for this position.
    • Performs other duties as assigned.

    Requirements for this position include:

    • Bachelors degree required.
    • Masters degree preferred.
    • 2 years of relevant analytics experience required.
    • Healthcare quality or financial data experience preferred.
    • Excellent communication skills written and verbal. Ability to work with all stakeholders to identify opportunities for improvement. Advanced MS Office product knowledge (pivot tables, vlookup, macros) required.
    • Proven record of financial reporting and dashboarding experience. Previous knowledge of Cerner reporting preferred.

    Benefits:

    • Competitive pay
    • Competitive shift differentials (2nd,3rd, and weekends)
    • 401(k) with employer match
    • Generous PTO Plan
    • Daycare
    • Dental insurance
    • Disability insurance
    • Flexible Spending
    • Health Insurance
    • Comprehensive Wellness Plan
    • Life Insurance
    • Pharmacy Discount
    • Tuition Assistance
    • Vision and Dental Insurance
    • Employee Assistance Program
    • Free Parking

    Experience

    Preferred
    • 1 year(s): Accounting or Revenue Cycle in Healthcare preferred

    Education

    Required
    • High School or better

    Skills

    Preferred
    • 1-2 years medical office experience

    Behaviors

    Preferred
    • Team Player: Works well as a member of a group
    • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
  • 1 Month Ago

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Cosmetic Merchandiser (2023-32435)
  • Apollo Retail Specialist
  • Prairie, WI PART_TIME
  • Cosmetic Merchandiser $14-$15 (2023-32435) As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engag...
  • 20 Days Ago

A
Cosmetic Merchandiser $14-$15 (2023-32435)
  • Apollo Retail Specialist
  • Prairie, WI PART_TIME
  • As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relationships with...
  • 7 Days Ago

D
Billing Specialist
  • Dove Healthcare
  • Lodi, WI FULL_TIME
  • Dove Healthcare - Lodi | 1700 Clark Street, Lodi, WI 53555 Schedule Details: full-time, days Confidently step into a new era with Dove Healthcare! Your career opportunities are endless with Dove Healt...
  • 1 Day Ago

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Admissions Specialist
  • Bedrock Healthcare
  • Beaver, WI FULL_TIME
  • Come Join Our Healthcare Family!! Admissions experience required within a long term care facility. The Admissions Specialist is responsible for assisting in achievement of optimal census occupancy lev...
  • 1 Month Ago

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Medical Reimbursement Technician
  • Veterans Health Administration
  • Madison, WI FULL_TIME
  • *********Recruitment Incentive: Is Authorized*************** Employee will be assigned to North Central Consolidated Patient Account Center (CPAC), Chief Operating Officer (COO), Billing and Insurance...
  • 11 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Madison, WI area

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Customer Service Associate
  • The Hertz Corporation
  • Madison, WI
  • The Customer Experience Specialist provides customer service that is above and beyond for customer satisfaction and rete...
  • 4/25/2024 12:00:00 AM

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Medical Assistant, Medical & ObGyn Oncology
  • UW Health
  • Madison, WI
  • Job Description Work Schedule: 70% FTE, 28 hours per week. Shifts scheduled Monday through Friday between the hours of 7...
  • 4/25/2024 12:00:00 AM

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Installation Technician Sign On Bonus WI
  • At&t
  • Madison, WI
  • Job Description: $5,000.00 Sign on Bonus currently available*. (Not applicable to internal employees.) This is your chan...
  • 4/25/2024 12:00:00 AM

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Installation Technician Sign On Bonus
  • AT&T
  • Madison, WI
  • Job Description: $5,000.00 Sign on Bonus currently available*. (Not applicable to internal employees.) This is your chan...
  • 4/24/2024 12:00:00 AM

A
Installation Technician
  • AT&T
  • Madison, WI
  • Job Description: $5,000.00 Sign on Bonus currently available*. (Not applicable to internal employees.) This is your chan...
  • 4/24/2024 12:00:00 AM

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Clinical Pharmacist - Inpatient Cardiology
  • UW Health Partners
  • Madison, WI
  • Work Schedule: 100% FTE, night shift (9:00 pm - 7:00 am) working 7 days on and 7 days off and holiday rotations. You wil...
  • 4/23/2024 12:00:00 AM

A
Installation Technician Sign On Bonus
  • At&t
  • Madison, WI
  • Job Description: $5,000.00 Sign on Bonus currently available*. (Not applicable to internal employees.) This is your chan...
  • 4/23/2024 12:00:00 AM

C
Light Commercial HVAC/R Service Technician
  • Coolsys
  • Madison, WI
  • Overview: With over 150 years of experience, CoolSys is the market-leading indoor environment solutions company. Our ful...
  • 3/29/2024 12:00:00 AM

Madison is located in the center of Dane County in south-central Wisconsin, 77 miles (124 km) west of Milwaukee and 122 miles (196 km) northwest of Chicago. The city completely surrounds the smaller Town of Madison, the City of Monona, and the villages of Maple Bluff and Shorewood Hills. Madison shares borders with its largest suburb, Sun Prairie, and three other suburbs, Middleton, McFarland, and Fitchburg. Other suburbs include the city of Verona and the villages of Cottage Grove, DeForest, and Waunakee as well as Mount Horeb, Oregon, Stoughton, and Cross Plains among others. According to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,372 to $53,918
Madison, Wisconsin area prices
were up 1.3% from a year ago

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Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
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You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
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Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020