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)
Health Solutions is a premier wellness center focused on whole-person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.
We’re hiring for a Healthcare Specialist III to join our team Saturday - Monday 7:00AM-7:00PM at our Acute Treatment Unit at 1302 Chinook Lane in Pueblo.
What You’d Be Doing
As a Healthcare Specialist III at the Acute Treatment Unit, you would play an important role in providing care in a safe and secure environment for our patients experiencing crises. You would be a member of a small team of professionals working closely with clients to get them the treatment they need, and then support them as they transition back to their home and community. You would assist in the intake process, provide case management services, conduct therapeutic sessions, and actively consult with families and community agencies. Excellent communication, documentation, and electronic record skills would be essential to your success.
Specifically, the Healthcare Specialist III
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What We’re Looking For—The Must-Haves
What We’d Like to See in You—The Nice-to-Haves
Health Solutions expects all staff to
Closing date: 2/19/2024 EOE M/F
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