Reimbursement Specialist - Healthcare jobs in Passaic, NJ
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Specialist - PHMI New Jersey B.O.
- Prime Healthcare Management Inc
-
Denville, NJ
FULL_TIME
-
Overview:Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Responsibilities:
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdfUnder the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices.Qualifications:Education and Work Experience- Minimum four years hospital billing and collection experience required.
- Medical and Insurance terminology essential.
- Knowledge of CPT, ICD-9, HCPCS coding structures.
- Experience with payment/EOB review.
- Bachelor's degree preferred
- 1 Month Ago
Reimbursement Specialist
- HBSI
-
Denville, NJ
FULL_TIME
- Reimbursement Specialist Facility Prime Healthcare Management Inc Location US-NJ-Denville ID 2024-154210 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt Overview ...
- 1 Month Ago
Assistant General Counsel - Managed Care Reimbursement
- Prime Healthcare Management Inc
-
Denville, NJ
FULL_TIME
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
- 1 Month Ago
LPN-Residential Specialist Full time with mileage reimbursement
- ADVANCING OPPORTUNITIES
-
Parsippany, NJ
FULL_TIME
- Advancing Opportunities, an affiliate with Apis Services is currently seeking qualified candidates to fill the role of Part-time Licensed Practical Nurse who delivers health services to individuals wi...
- 18 Days Ago
Medical Receptionist
- Omni Eye Specialist Pa
-
Parsippany, NJ
TEMPORARY
- Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
- 1 Month Ago
Education specialist
- Prime Healthcare
-
Dover, NJ
FULL_TIME
- Overview At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is ac...
- 1 Day Ago
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0 Reimbursement Specialist - Healthcare jobs found in Passaic, NJ area
Vice President of Sales - Rare Metabolic Disorders
- EVERSANA
-
Newark, NJ
- Company Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We're fueled by...
- 4/26/2024 12:00:00 AM
CDL-A Truck Driver - Earn 45-60 CPM + Great Benefits
- U.S. Xpress
-
Passaic, NJ
- U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
- 4/26/2024 12:00:00 AM
Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
- U.S. Xpress
-
Passaic, NJ
- U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
- 4/26/2024 12:00:00 AM
Associate Director, Access & Reimbursement - Oncology - REMOTE
- Proclinical Staffing
-
New York, NY
- Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
- 4/25/2024 12:00:00 AM
Travel Cath Lab Technologist - $2,970 per week
- Stability Healthcare
-
Passaic, NJ
- Travel Nurses, Inc. is seeking a travel Cath Lab Technologist for a travel job in Passaic, New Jersey. Job Description &...
- 4/25/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 4/24/2024 12:00:00 AM
CDL-A OTR Driver - Earn 45-60 CPM + Benefits
- U.S. Xpress
-
Passaic, NJ
- U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
- 4/24/2024 12:00:00 AM
Field Reimbursement Specialist- Albany/Westchester
- Cencora
-
New York, NY
- Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
- 4/22/2024 12:00:00 AM
About Passaic, New Jersey
According to the United States Census Bureau, the city had a total area of 3.244 square miles (8.401 km2), including 3.146 square miles (8.149 km2) of land and 0.098 square miles (0.253 km2) of water (3.01%).
Unincorporated communities, localities and place names located partially or completely within the city include Davis Bridge and Pleasant Plains.
Passaic's only land border is with neighboring Clifton, which borders Passaic to the north, south, and west. The Passaic River forms the eastern border of Passaic. Four additional neighboring towns in Bergen County immediately across the river fr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$51,850 to $63,004
Passaic, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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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