Reimbursement Specialist - Healthcare jobs in Peoria, IL

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 Data Analyst
  • OSF HealthCare
  • Peoria, IL FULL_TIME
  • Overview

    Expected pay for this position is $28.44 - $33.46/hour. Actual pay will be determined by experience, skills and internal equity.

     

    POSITION SUMMARY: ​The Reimbursement Data Analyst II is primarily responsible for ensuring accurate and timely payor reimbursement coding for assigned OSF hospitals and other entities in the electronic medical record system. This includes, but is not limited to the following: education, training and oversight of department staff on contract coding in the electronic medical record system, auditing department staff on contract coding, coordination and reporting between OSF HealthCare facilities, report writing, assists in contract modeling, and ongoing contract maintenance in OSF's electronic medical record system.


    Qualifications

    REQUIRED QUALIFICATIONS:

    • Education: Bachelor's Degree
    • Experience: ​5 years' experience in managed care, health care or related services

     

    Other Skills/ Knowledge:

    • Excellent interpersonal and communication skills.
    • Solid computer skills, including proficiency with Microsoft software.
    • Strong analytical and problem solving skills, with the ability to be detail oriented.
    • Obtain Epic Resolute Hospital Billing Expected Reimbursement Contracts Administration certification within one year of hire date.
    • Strong working knowledge of hospital billing/processes, electronic medical record/processes.
    • Strong background in financial analysis in Microsoft Excel.
    • Strong working knowledge of supporting resources such as software and websites to access data needed to support the contract build and data analysis.
    • Strong working knowledge of managed care contract terms and methodologies.

     

    PREFERRED QUALIFICATIONS:

    • Knowledge of project management techniques.
    • Working knowledge of hospital billing/processes, electronic medical record systems/processes utilized across OSF business units.

     

    OSF HealthCare is an Equal Opportunity Employer.

  • 7 Days Ago

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Reimbursement Coding Specialist (UICOMP Pediatrics)
  • University of Illinois
  • Peoria, IL FULL_TIME
  • Reimbursement Coding Specialist (UICOMP Pediatrics) Hiring Department: Pediatrics Location: Peoria, IL USA Requisition ID: 1014607 Posting Close Date: 10/21/22 About the University of Illinois Chicago...
  • 21 Days Ago

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PI Specialist
  • OSF HealthCare
  • OTTAWA, IL FULL_TIME
  • OverviewExpected pay for this position is $37.99 - $44.70/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Performance Improvement Specialist is res...
  • Just Posted

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PI Specialist
  • OSF HealthCare
  • PEORIA, IL FULL_TIME
  • OverviewExpected pay for this position is $37.99 - $44.70/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Performance Improvement Specialist is res...
  • 7 Days Ago

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Healthcare Recruiter
  • Maxim Healthcare Services
  • Peoria, IL FULL_TIME
  • Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
  • Just Posted

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Vendor Service Specialist
  • OSF HealthCare
  • Peoria, IL FULL_TIME
  • OverviewExpected pay for this position is $26.46 - $31.13/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: ​The Vendor Service Specialist is responsible...
  • Just Posted

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0 Reimbursement Specialist - Healthcare jobs found in Peoria, IL area

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Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
  • Western Express
  • PEORIA, IL
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-4187 Real Miles. Real Money. Western Express has immed...
  • 4/24/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • East Peoria, IL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Pekin, IL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Normal, IL
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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AD, Access & Reimbursement NPS CRM Peoria, IL - Remote
  • Novartis
  • Peoria, IL
  • AD, Access & Reimbursement NPS CRM Peoria, IL - RemoteJob ID388014BRMar 20, 2024USAAbout the RoleLocation: RemoteAbout t...
  • 4/23/2024 12:00:00 AM

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Nurse Practitioner - Advanced Practice Provider
  • Oak Street Health Inc.
  • Peoria, IL
  • Title: Nurse Practitioner - Advanced Practice Provider Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Loc...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/21/2024 12:00:00 AM

H
EMT
  • Hiring Now!
  • Peoria, IL
  • Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the liv...
  • 4/21/2024 12:00:00 AM

Peoria (/piˈɔːriə/ pee-OR-ee-ə) is the county seat of Peoria County, Illinois, and the largest city on the Illinois River. Established in 1691 by the French explorer Henri de Tonti, Peoria is the oldest European settlement in Illinois, and is named after the Peoria tribe. As of the 2010 census, the city was the seventh-most populated in Illinois (and the third largest outside the Chicago metropolitan area), with a population of 115,007. The Peoria Metropolitan Statistical Area had a population of 373,590 in 2011. Until 2018, Peoria was the global and national headquarters for Caterpillar Inc.,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,336 to $52,659
Peoria, Illinois area prices
were up 1.3% from a year ago

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