Reimbursement Specialist - Healthcare jobs in Rapid City, SD

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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Healthcare Data Integration Specialist
  • J2 Interactive
  • Rapid, SD FULL_TIME
  • Job Description

    J2 Interactive is looking for qualified candidates to contribute to challenging data integration projects for our healthcare customers.  Most projects make use of InterSystems Corporation's Ensemble / HealthShare interoperability platform, but prior experience with Ensemble / HealthShare is not strictly necessary.  If you understand healthcare data integration, and you're well versed in at least one competing interface engine such as Cloverleaf, DataGate / eGate / SeeBeyond, Epic Bridges, Mirth, or Rhapsody, we can make this work.

    Though our headquarters is located in Charlestown (Boston), MA, this is a telecommuting position open to anyone who's eligible to work in the US. 

    Candidates must be willing to submit to a background check. No recruiters or third party solicitations please.

     

    Skills Description

    The most important qualities we're looking for are:

    • Bachelor’s Degree (or foreign equivalent degree) in Computer Science, Computer Engineering or related
    • 5 years of experience in healthcare IT, preferably in a hospital, laboratory, or health information exchange setting
    • Complete fluency with the HL7 2.x file format (ADT and clinical messages) and a thorough understanding of how interface development projects work
    • Experience with CCD and C-CDA documents strongly desired
    • Experience with X12 file formats also desirable
    • Experience with file parsing (XML, XSLT, etc.)
    • Comfort level with object-oriented programming concepts a plus
    • Caché / Ensemble / HealthShare experience a huge plus, but not strictly necessary
    • Extremely strong oral and written communication skills, including the ability to write detailed, accurate interface specifications and other documents for both a technical and management audience
    • Excellent interpersonal skills, including the ability to work confidently and effectively with data providers, systems administrators, and software developers both inside a hospital or lab and at third-party organizations
    • Genuine dedication to making your clients and teammates successful
    • Experience with VA VistA and FileMan is a plus
    • Experience with MuleSoft is a bonus

    Most of all we want people who are smart, creative, and fearless. Frankly we'd rather hire a brilliant, highly motivated healthcare interface developer who's new to InterSystems technology than someone with loads of relevant experience who lacks the personal qualities we're looking for. But of course, the perfect candidates will have both.

     

    Company Description

    J2 Interactive is an award-winning software development and IT consulting firm specializing in customized solutions for hospitals, labs, research institutions, and health information exchanges.  Our approach to design and development is rooted in a fundamental belief that systems succeed or fail based on how well they serve the people who depend upon them.  For our clients in the healthcare industry, that includes doctors, nurses, technicians, and administrative staff ... but ultimately, it means patients and their families.

    At J2 we get a lot of satisfaction out of helping our customers succeed, and we want people with that same commitment to getting the job done right.  We’re not afraid to give people the responsibility of working directly with clients, defining project specs, and choosing implementation strategies.  Our casual work environment and telecommuting options give our staff a high quality of life to go along with the technical and creative challenges of the work itself.

    Generally speaking, we are looking to hire full-time, salaried employees.  But if you're a freelancer and want to stay that way, we're open to discussing a contract position as long as we can get a stable, predictable full-time commitment from you.

     

    Benefits

    • The ability to telecommute from your home office
    • Aggressive employee profit-sharing program
    • Voluntary 401(k) plan with company matching up to 4% of salary
    • Medical, dental and vision insurance, with 50% of costs paid by J2
    • Short-term and long-term disability insurance, paid for by J2
    • Laptop and required software provided by J2
    • Annual ski trip that will make you wonder how you found this awesome company

     

    If you're interested in joining our team, we invite you to submit your resume so we can take a look.  We move fast ... so if you've got what we're looking for, you'll be amazed at how quickly you might have yourself a new job that you'll love.

    J2 Privacy Policy

  • 7 Days Ago

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LPN - Healthcare Evening Shift
  • Medical Solutions LTC
  • Rushville, NE TEMPORARY
  • Medical Solutions LTC is seeking a LPN / LVN Long Term Care for a travel job in Rushville, Nebraska. Specialty: Long Term Care ~ Shift: 12 hours, nights ~ Employment Type: Travel We're seeking talente...
  • 26 Days Ago

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Personal Care Assistant (PCA)
  • Edgewood Healthcare
  • Rapid, SD FULL_TIME
  • Full-Time All Shifts Benefits: From $15.50/hour, depending on experience Access your paycheck early Training provided Paid time off begins accruing day 1 Health, vision, dental, & HSA plans 401K plan ...
  • 13 Days Ago

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Activities Assistant
  • Legacy Healthcare
  • Rapid, SD FULL_TIME
  • Are you looking for a rewarding career in Skilled Nursing? We are currently searching for Activities Assistant to join our friendly, caring and supportive team! Avantara Arrowhead is rapidly growing a...
  • 13 Days Ago

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Travel Registered Nurse RN, Progressive Care Unit (PCU)
  • TRS Healthcare
  • Rapid, SD CONTRACTOR
  • Registered Nurse - Progressive Care Unit (PCU) TRS Healthcare is seeking a Registered Nurse who is licensed to work in SD, and has Progressive Care Unit (PCU) experience. The Registered Nurse assumes ...
  • 13 Days Ago

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Travel Nurse RN - ER/Trauma - $2,042 per week in Deadwood, SD
  • Stability Healthcare
  • Deadwood, SD FULL_TIME
  • About Stability Healthcare At Stability, we have built a nurse friendly platform that simplifies finding travel nursing jobs without the need for a recruiter. We believe in pay transparency and that i...
  • 13 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Rapid City, SD area

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Travel Nurse RN - Psychiatric - $1,960 per week
  • Hiring Now!
  • Rapid City, SD
  • MedPro Healthcare Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in Rapid City, South Dakota...
  • 4/23/2024 12:00:00 AM

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Medical Laboratory Technician | Family Medicine Residency Program | Full Time - 40 Hours
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/22/2024 12:00:00 AM

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Patient Access Specialist I | Cardiology Clinic | Full Time - 40 Hours
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/22/2024 12:00:00 AM

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Client Service Specialist | Occupational Medicine - Jackson Boulevard Urgent Care | Full Time - 36 Hours
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/22/2024 12:00:00 AM

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RN | HBO/Wound Care - Rapid City Hospital | Full Time - 40 Hours | $15,000 Sign On Available for Qualified Candidates
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/21/2024 12:00:00 AM

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Pharmacy Medication History Specialist | Rapid City Hospital | As Needed
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/21/2024 12:00:00 AM

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Ambulatory Call Center | Patient Access Specialist I | Full Time - 40 Hours
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 4/21/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Rapid City, SD
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 4/3/2024 12:00:00 AM

Rapid City is located at 44°04′34″N 103°13′42″W / 44.076188°N 103.228299°W / 44.076188; -103.228299. The downtown elevation of Rapid City is 3,202 feet (976 m) and Rapid City sits in the shadow of Black Elk Peak, which at 7,242 feet (2,207 m), is the highest point east of the Rocky Mountains. According to the United States Census Bureau, the city has a total area of 55.49 square miles (143.71 km2), of which 55.41 square miles (143.5 km2) is land and 0.08 square mile (0.2 km2) is water. Rapid City is located on the eastern edge of the Black Hills, and is split in half by the Dakota Hogback. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$40,092 to $48,717
Rapid City, South Dakota area prices
were up 0.8% from a year ago

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