Reimbursement Specialist - Healthcare jobs in Rock Hill, SC
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)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Counselor
- Partnered Staffing - Kelly Services
-
Fort Mill, SC
FULL_TIME
- Company DescriptionKelly Services in partnership with Nissan is currently seeking high skilled individuals to fill Production Technician openings at the Nissan manufacturing plant located in Canton, MS.Job DescriptionKelly Services is currently seeking Reimbursement Counselors for our client in Fort Mill, SC! Ideal candidates will have healthcare or pharmacy claims experience!Start Date: 2/13/2017Hours: 8:30a-5:30pAs a Reimbursement Counselor you will be responsible for accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. Collecting and reviewing all patient insurance benefit information. Providing assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications. Completing and submitting all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researching and resolving any electronic claim denials. Researching and resolving any claim denials or underpayment of claims.Additional Job Duties:Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Reports any reimbursement trends/delays to supervisor e.g. billing denials, claim denials, pricing errors, payments, etc. Processes any necessary insurance/patient correspondence. Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification NPI number, and referring physicians. Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process. Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation. Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.Job Requirements:High School Diploma/GEDGeneral knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred.Global understanding of commercial and government payers preferred.Ability to proficiently use Microsoft Excel, Outlook and Word.Additional InformationAll your information is kept confidential as per EEO standards.Why is this a great opportunity? The answer is simple…working at our client is more than a job; it’s a career. The opportunities are diverse whether you are right at the start of your career or whether you are looking for new challenges this is the job for you, so be quick and apply now!
- 1 Month Ago
Instrument specialist
- Hearing Healthcare Recruiters
-
Rock Hill, SC
FULL_TIME
- is proud to present this opportunity in the beautiful state of South Carolina! This practice with an excellent reputation within the community is seeking an Audiologist or Hearing Aid Specialist in th...
- Just Posted
Audiologist or Hearing Instrument Specialist
- Hearing Healthcare Recruiters, LLC
-
Rock Hill, SC
FULL_TIME
- This practice with an excellent reputation within the community is seeking an Audiologist or Hearing Aid Specialist in the Rock Hill, SC area with a strong sales record to help maintain workflow while...
- 9 Days Ago
Registered Nurse / Home Healthcare
- Cross Country Healthcare
-
Chester, SC
FULL_TIME
- Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
- 15 Days Ago
Registered Nurse / Home Healthcare
- ccn
-
Chester, SC
OTHER
- Job DescriptionAs a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, ho...
- 18 Days Ago
Dietary Aide-Healthcare
- WHITE OAK MANAGEMENT
-
Lancaster, SC
OTHER
- Job Details Job Location: White Oak Manor Lancaster - Lancaster, SC Position Type: Full Time Salary Range: $11.50 - $15.50 Hourly Job Category: Food Service- Dietary DescriptionWhite Oak of Lancaster ...
- 8 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Rock Hill, SC area
Lead Coding Reimbursement Specialist
- Tryon Medical Partners
-
Charlotte, NC
- Lead Coding Reimbursement Specialist III Job Summary: Under the direction of the Revenue Cycle Director, provides day to...
- 4/23/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Clover, SC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Lancaster, SC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Indian Trail, NC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Matthews, NC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Charlotte, NC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Monroe, NC
- [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
Data Entry Specialist (Work From Home)>
- CareMetx
-
Cornelius, NC
- [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
About Rock Hill, South Carolina
Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937.
The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people.
The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$43,606 to $52,987
Rock Hill, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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