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)
Orlin & Cohen Orthopedic Group is the premier and fastest-growing orthopedic practice on Long Island, providing comprehensive care that helps thousands of our neighbors live more active lives, free from pain. Orlin & Cohen is one of the largest orthopedics practices in the region, with 19 offices in Nassau and Suffolk Counties, Queens, and Staten Island, we have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.
**Full-Time roles receive $12,500 Sign-on Bonus, First half paid at 6 months, final half paid at 12 months** - For Qualified Candidates
Position: FT/PT/PD and open schedule needed
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Required Experience & Qualifications:
*This job description is subject to revision at the discretion of the company.*
Thank you for your interest in working with Orlin & Cohen!
**The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, budget and internal equity).**
*We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Job Types: Full-time, Part-time, Per diem
Pay: $90,000.00 - $125,000.00 per year
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Work Location: In person
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