Reimbursement Specialist - Healthcare jobs in Riverside, CA

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)

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Management Inc
  • Ontario, CA 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

    Involved in preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be able to evaluate the accuracy of the entire report.

     

    Qualifications

    Required qualifications:

  • Bachelor’s degree Accounting or Finance
  • Minimum 15 years in Government reimbursement and cost report preparation experience in a multi-hospital system.
  • Experience in preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit
  • Knowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts, ESRD Add-on, Nurse Allied Health Education, Rural Health Clinic, Sole Community Hospital, Critical Access Hospital and Low Volume Adjustment.  Apply the knowledge when preparing the cost report and its subsequent audit.
  • Experience working with Besler’s EZWP program, HFS, PS&R, 835 files, financial statement and patient account data.
  •  

    Preferred qualifications:

  • Strong analytical skills and resourceful
  • Experience working with hospital GL and patient accounting systems (Lawson, EPIC, Meditech)
  • Strong communication skills
  •  

    We are an Equal Opportunity/Affirmative Action 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.  EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $94,848.00 to $142,272.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

  • 2 Months Ago

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Senior Government Reimbursement Specialist Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-150769 Category Business Professional Position Type Full Time Shift Days Jo...
  • 2 Months Ago

P
Corporate Manager Government Reimbursement and Reporting
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Corporate Manager Government Reimbursement and Reporting Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-149217 Category Manager Position Type Full Time Shift Days Job Type Exe...
  • 1 Month Ago

P
Corporate Manager Government Reimbursement and Reporting
  • Prime Healthcare Management Inc
  • Ontario, CA 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

C
Outside Sales Healthcare Specialist
  • Comcentric Inc.
  • Riverside, CA FULL_TIME
  • We are seeking Outside Sales Healthcare Specialist for a Full time Role in Riverside, CA. Location: Riverside, CA Pay Range: 57K – 70K per year commissions Benefits: Medical insurance coverage (Medica...
  • 4 Days Ago

A
Field Service Specialist - Healthcare
  • Acosta Group
  • Corona, CA FULL_TIME
  • **Field Service Specialist - Healthcare** **Description** **Who is Mosaic?** Consistently voted one of the best places to work, Mosaic provides people, technology, and analytics to support the sales a...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Reimbursement Specialist - Healthcare jobs found in Riverside, CA area

T
HR Manager
  • The Judge Group
  • Riverside, CA
  • Job DescriptionThis role is responsible for providing facility level leadership in all areas of Human Resources that aff...
  • 3/28/2024 12:00:00 AM

U
Solo CDL-A Truck Driver - Competitive Pay - Full Benefits
  • U.s. Xpress
  • Riverside, CA
  • U.S. Xpress is Now Hiring Solo CDL-A Drivers! Competitive Pay - Full Benefits - Tuition Reimbursement Available Freedom ...
  • 3/28/2024 12:00:00 AM

E
Certified Medical Assistant
  • Empire Vein Specialists
  • Riverside, CA
  • Job Description Job Description Empire Vein Specialists provides a challenging and dynamic work environment and offer ma...
  • 3/27/2024 12:00:00 AM

C
Family Practice Physician
  • Community Health Systems, Inc.
  • Riverside, CA
  • Job Description Job Description Did you know? Physicians can receive loan repayment credit by the National Health Servic...
  • 3/26/2024 12:00:00 AM

P
Corporate Senior Government Reimbursement Specialist
  • Prime Healthcare Management Inc
  • Ontario, CA
  • Overview: Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare oper...
  • 3/26/2024 12:00:00 AM

R
Field Service Engineer - HVAC, Refrigeration - Direct Hire
  • RemX The Workforce Experts
  • Riverside, CA
  • Job Description Job Description ** $39-$43hr or more ($145k+ end of year) OT, per diem, paid travel, matching 401 (k), f...
  • 3/26/2024 12:00:00 AM

O
HR Manager
  • OSI Group
  • Riverside, CA
  • This role is responsible for providing facility level leadership in all areas of Human Resources that affect employees a...
  • 3/26/2024 12:00:00 AM

M
MAA Professional Music Teacher Store 2605
  • Music and Arts
  • Riverside, CA
  • Pay Rate: $16.00 plus teaching time rate The job posting is not necessarily reflective of actual compensation that may b...
  • 5/16/2023 12:00:00 AM

Riverside is a city in Riverside County, California, United States, located in the Inland Empire metropolitan area. Riverside is the county seat of the eponymous county and named for its location beside the Santa Ana River. It is the most populous city in the Inland Empire and in Riverside County, and is located about 55 miles (89 km) east of downtown Los Angeles. It is also part of the Greater Los Angeles area. Riverside is the 59th most populous city in the United States and 12th most populous city in California. As of the 2010 Census, Riverside had a population of 303,871. Riverside was fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$48,467 to $58,893
Riverside, California area prices
were up 3.0% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
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